Asbestos inspection report form, 90 Church Street area, Oct 2001

NYC 9/11 Public Portal Document

ASBESTOS INSPECTION REPORT

PREMISE NO. E IN 7N DATE f b c ~~ 1 D 2 FIAOR ZIP BORO CODE BLOCK LOT SOUAD I BADGE.

INSPECTOR BLDG TYPE BASIS OF INSPECT. ,Yy PHOTOS TAKEN YES' NO • o c n is SAMPLE NO. ~+C• CONTRACTORS NAME

CITYt) SAMPLE NO. ADDRESS) L

STATE 4v ZIP 1 PHONE SAMPLE NO.

LABORATORY HAM OWNERS NAME

act O,I CITYj ADDRESS CITY ADDRESS 5S w t lit Zip PHONE STATE ZIP PHONE STATE.`` r __ TIME OF INSPECTION FROM: ~•--Knopm TO: pm CONTACT PERSON: r1 C

Inspection disclosed that the following Requirements, Specifications, 1 and Procedures were complied with e Section 1-51 Notifications, Reports, Plans, and Fees .2- .Section 1-71 Air Sampling, Monitoring, and Analysis er ction 1-91 Worker Protection ,g'Section 1-101 Materials and Equipment Z' Section 1-116 Work Place Preparation -,0'8ection 1-117 Worker Decontamination Enclosure System .Q. Section 1-118 Waste Decontamination Enclos re System Section 1-126 Engineering Controls Section 1.127 Entry/Exit ❑ Section 1-128 Equipment, Waste Decontamination & Removal Section 1-129 Maintenance of Decontamination System A Barriers Section 1.137 ACM Disturbance, Handling, & Removal ❑ Section 1-138 Encapsulation 0 Section 1-139 Enclosure ❑ Section 1-140 Glovebag 0 Section 1-141 Tent ❑ Section 1-146 Preliminary Clean Up ❑ Section 1-147 Final Clean Up ❑ Project ongoing, expected completion date_I I ❑ Project completed on or about__ J_ I All surfaces, including abated surfaces are free of visible ACM debris and Encapsulated ❑ No Access Premise 0 Locked, No response to bell or knocks 0 Abandoned ❑ Inspection based on complaint, no ACM being disturbed or present ❑ Variance Inspection,Approved/Disapproved. Section (a) ❑ Follow Up Necessary .. Contact person at the site . . ..... . . . . . ............. ......... ..... ........ . .......... . .... .

Additional Continents

L G

NOV I INFRACTIONS RESULT CODE I i i I I

NOVI I I SUPE VISORS INITIALS

BORO 1 . MANHATTAN 2 • BRONX 3 • BROOKLYN 4 . QUEENS 5 .RICHMOND BLDG TYPE A > 6 Stones B <6 Storks C Single Family D School E Hospital F Public Owned Property RESULT CODES I • Violation Issued 2 - No Violations Issued 3 - No Access • - Protect not Started (No NOVI 5 • Project Completed No NOVI ACP 30/92

NYC-WTC 000126911