NYC 9/11 Public Portal Document
Ia1.
TOTAL FEET: 6120 0 I'
NYC DEPARTMENT OF ENVIRONMENTAL PROTECTION Basis of Inspection:
ASBESTOS INSPECTION REPORT
I TRUO892MN02
FEE EXEMPT: Yes
ONLY TYPEWRfTTEN-
APPLICATIONS WILL BE NOTE: ASBESTOS INSPECTION REPORT SHALL BE SUBMITTED 1. $0.00
ACCEPTED
TO NYC DEP NOT LESS THAN ONE WEEK IN ADVANCE
OF START OF THE WORK (ABATEMENT ACTIVITIES) L Variance
START DATE: 6/18/02 PROJ. COMPLETION DATE: 6/18/02
I. FACILITY
ADDRESS: 173 BROADWAY BORO: MANHATTAN ZIP: 10007
TYPE OFFACILITY: BLOCK: LOT:
II. BUILDING OWNER
NAME: BROADWAY AND CORTLANDT REALTY Contact JDAVID
TEL. #:
ADDRESS: 2-8 CORTLANDT ST. CITY: NY STATE: NY ZIP:
IV. ASBESTOS ABATEMENT CONTRACTOR
NAME: FIBER CONTROL INC.
TEL. #: (516) 781-3000 FEDERAL EMPLOYER IDENTIFICATION #: PII
ADDRESS: 3010 BURNS AVE CITY: WANTAGH STATE: NY ZIP: 11793
VI. LABORATORY FOR SAMPLE ANALYSIS NAME: SCIENTIFIC LABORATORIES INC - NEW YORK Cl
NYS ELAP #: 11480
ASBESTOS WORK HEDULE ! AY EVENING NIGHT i WEEKENDS L WEEKDAYS
INSPECTOR NAME: SQUAD #: 1 BADGE #:
- —1 ----- _--
DATE OF INSPECTION: — Q ME OF INSPECTION: From: j . M~ AM L-1 PM
To: O M AM PM
Contact at site: f (1b
Inspection disclosed that the following sections were complied with: (Check all that apply)
1-51 - Notifications, Reports, Pla 1-71 - Air Sampling and Monitorin L 1-91 -Worker Protection
1.101 - Materials and Equipment 1-116 - Work Place Preparation j 1-117 - Worker Decontamination System
1.118 - Waste Decontamination System 1-126 - Engineering Controls j_ 1-127 Entry/Exit Procedures
1.129. Maintenance of Barriers j 1.138 - Encapsulation j 1-139 Enclosure J
1.140 - Glovebag r
) 1.141 - Tent 1.137 • ACM Disturbance, RemoveL, Handling
1.146 - Preliminary Clean-up 1-147. Final Clean-up
Project not started . Inspection
revealed all ACM to be intact. New start date:
Project ongoing, expected completion date:
Project completed on or about / / All surfaces, including abated surfaces are free of visible ACM and encapsulat
Follow up necessary on
Samples taken: No 1 Yes 1 2 3
4 5 6 Photos taken: Yes No
L I
Additional comments: L
pr
W€-.-t_ o evr, _(24 ], ,— ~3I o 1' iL.r_ moo..
c --e, _ ter, L ` --- s . ,ate
BORO 1 = MANHATTAN RESULT CODE
2 = BRONX 3 = BROOOKLYN 4 = QUEENS 5 = STATEN ISLAND j
RESULT CODES 1 = VIOLATION ISSUED 2 = NO VIOLATION ISSUED 3 = NO ACCESS
SUPERVISOR TIALS
4 = PROJECT NOT STARTED (NO NOV) 5 = PROJECT COMPLETED (NO NOV) _
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NYC-WTC 000122573
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