TOTAL FEET: 6120 0
NYC DEPARTMENT OF ENVIRONMENTAL PROTECTION Basis of Inspection:
ASBESTOS INSPECTION REPORT I TRU0892MN02
ONLYTYPBWRfTTBN. FEE EXEMPT: Yes
WILL BE I NOTE: ASBESTOS INSPECTION REPORT SHALL BE SUBMITTED 1. $0.00
ACCEPTED
TO NYC DEP NOT LESS THAN ONE WEEK IN ADVANCE
[] Variance
L — OF START OF THE WORK (ABATEMENT ACTIVITIES)
START DATE: 6/18/02 PROD. COMPLETION DATE: 6/18/02
I. FACILITY
ADDRESS: 173 BROADWAY BORO: MANHATTAN ZIP: 10007
TYPE OFFACILITY: BLOCK: ---.-- LOT: - _-
-_-._--
IL BUILDING OWNER
NAME: BROADWAY AND CORTLANDT REALTY Contact JPAVID
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 CI
NYS ELAP #: 11480
ASBESTOS WORK HEDULE Li AY C' EVENING Li NIGHT 17 WEEKENDS Li WEEKDAYS
INSPECTOR NAME: i _ _ SQUAD #: -_ L
A BADGE #:
DATE OF INSPECTION: ME OF INSPECTION: From: JL MD AM tI PM [ •
Contact at site: MWJD
To: -_ O M AM El PM f l
Inspection disclosed that the following sections were complied with: (Check all that apply)
1.51 • Notifications, Reports, Pla I J 1.71 .Air Sampling and Monitorin C - j 1.91 • Worker Protection -
1.101 • Materials and Equipment fl ] 1.116 _Work Place Preparation 1.117 • Worker Decontamination System
fl
1.118 Waste Decontamination System i J 1.126. EngIneering Controls 1.127. Entry/ExIt Procedures
1.129 • Maintenance of Barriers [1 1.138. EncapsulatIon
[_J 1.139 _ Enclosure
1.140 • Glovebag 1.
1141 _Tent - 1.137 • ACM Disturbance, RemoveL, Handling
L
1.146 • Preliminary Cleanup 1.147_ Final Cleanup i
~.
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 eneapsulat
Follow up necessary on / /
Samples No L] Yes 1 2
taken:_.i -1 3
4 5 6 Photos taken: Yes No
Additional comments:
---_
__.. _.. n r?_a.--.~j. _. 1. =r-_~? ~,•3 R _ _ _
r
L--- ----- ------- .: .......... ..±:I..::., III
BORO 1= MANHATTAN
....
RESULT CODE
2 = BRONX 3= BROOOKLYN 4= QUEENS 5= STATEN ISLAND -'
RESULT CODES 1= VIOLATION ISSUED 2 = NO VIOLATION ISSUED 3= NO ACCESS 4---- • - •.
SUPEfN/ISOR T
4= PROJECT NOT STARTED (NO NOV) 5 = PROJECT COMPLETED (NO NOV)
NYC-WTC 000122590
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NYC-WTC_000122590Source: NYC Law Department, mirrored locally