NYC 9/11 Public Portal Document
NYC DEPARTMENT OF ENVIRONMENTAL PROTECTION F 1100 FF1 /7 a 0
ASBESTOS INSPECTION REPORT hasis of Insnecticn: FL 5
30 50F!
ONLY TYPEWRITTEN TRU1127MN02 %9 .,0b O "
-
APPLICATIONS WILL AF" NOTE: ASBESTOS INSPECTION REPORT SHALL BE SUBMITTED "LE F Y'r Mt I fh4 ~'6 000 b
ACCEPTED
TO NYC DEP NOT LESS THAN ONE WEEK IN ADVANCE 1. '54.00 22 2,500 0
OF START OF THE WORK (ABATEMENT ACTIVITIES) 19 050 i
1,450 0
START DATE: 7/19/02 COMPLETION DATE: 8/1/02
500
I. FACILITY CY'ar fi75 t)
Al IRE ,S: 29 PROADWAY EORO: h ANHAT (AN ZIP . 10004 C (3 4b0 0
T\OFFAC Y'. NYC. Al -N(Y PUCK. 21; LOT'. 1 •- :
,,..-j BUILDING OWNER
NAM: : iFflNlii FoORRISCORP.
71i_ F: (212) r125.,>_?'_i0
AD!:/RE,'S. nia r1/a nia CITY: n/a `" STATE: n/a ZIP: n/a
IV. ASBESTOS ABATEMENT CONTRACTOR
NAMP. TRIO A Al ,TOS REMO'JAL CORP
TEL N: r71,ii) I 4100 FEDL-RAL EMPLOYER IDJIIIFICATICN # P11
ADDRESS 1" :"0 129FI I STRFFT C;1`': COLLEGE POINT ,TAT NY ZIP: 11356
V. THIRD PARTY AIR MONITOR .. : .• .
NAME: WA,Rt(F N &PANZER FNCINEF2S, P.C.
. . .. . TEL a: (21?_) d '-(1017
1111)1;F i,; .28 EAST 4 H STRFFT GITY: NEW YORK S FATE NY ZIP: 10017
VI. LABORATORY FOR SAMPLE ANALYSIS NAME WKP At CRATORIF; c':0 WARRIN & PANZER E
NYSE Po #: 112bi
ASBESTOS WORK SCHEDULE I_J DAY 1 EVENIN13 V, NIGHT Itr WEEKENDS
INSPECTOR ?J AM E: SQUAD #: t N DGE. t#: 4 0
R
DATE OF INSPECTION: 7 ;" 2`J / 02— TIME OF INSPECTION: From: e - AM i uI
To- rl AM PM
'antaI t it Sites. JCC.x1 :
..
In p Inn dlst. lo e(I that the 10110w up no t , n were c (mF,Ie 1 vIt r i
;1 ck alI that aplay') "
1-5i F it/i a n is, Reports la I 1, 1 n .,amphr/ nd PA ill i ln 1 91 WVrkel" F itocIll o
_ I
I-107 Met, n ,h and Equit,r~lant 1 1? tS Work 01 cc F r'@pat It ,n 1-1 i JVorki.•r ILL vnulatlon Syst m°
I. "_
1 116 Wv !,io O ncul ein Ii (10 I Sy tern a 1 1"n r glresn 1 Ce: ill I 1 j- 1 1'7 - EntryiEx t F ruredut
1i29 - Mai l ru n of Barriers J 1138 En capsulation I 1 1.30 Einclosur(; I .
1.14 -(loot.ha6 C 1.141 "Gent 1.137 ACM Dist,arba1ee, RemoveL, Handling
1-146 rrc•Iin ui Ily lean up ' 1 147 Final Cleln up
.,i I I'ruJC,.+ l.,t s' uled"
tnspeation .
rr <'710 all A v'1 I , I. i i w New tart dot / /
r- cl _ I au II , t d i 11111 i.hr , d,ate /
Project rxlrnp I on or abrn,t / / All surfaces, including abated surfaces are free of visible ACM and encapsulat
j I R,I!uw up nec ir on /
Samples taken: No i Yes 1 2 3
6 Photos taken F Yen I No
oH 1 tin I 11101 NL
]}. to~ ~6 ~= Fcr>fr (jc:LC ----Vcr,C..rdoa «,`4 C ~.-~.o,..,. u-.~ ~ •f~.yE-ea~
l"p mt..,,Lj
I.. . fl d et - rX.<.G.r«_. C ~E_.Fx.<w..~..~ ~~'~aa-h_•t-4~~ ca.
n
r
7 .
... BORO '1 MANHATTAN 2 =BRONX , 3 = BROOOKLYN ,:FS.i ICr t ODE -
4 = HUN-F=NS F = ;TATFN St AND
RESULT CODES I =: VIOLATION ISSUED 2
2 = NO VIOLATION ISSUED f 1 A(. F S i
u E.VI ( f' INITIALS
4 _ PROJECT NOT STARTED (NO NOV) 5 = PROJECT I IM l NO IJOV;
NYC-WTC 000123557
OCR can misread numbers and units. Confirm readings against the page image before using them.