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

NYC 9/11 Public Portal Document

TOTAL FEET: 83145 600

NYC DEPARTMENT OF ENVIRONMENTAL PROTECTION Basis of Inspection: ASBESTOS INSPECTION REPORT 103433633 FEE EXEMPT: No ONLY TYPEWRITTEN __............ .--__—_— ...._.._-. . .--_ APPLICATIONS WILL BE NOTE: ASBESTOS INSPECTION REPORT SHALL BE SUBMITTED 1. $1,200.0 ACCEPTED TO NYC DEP NOT LESS THAN ONE WEEK IN ADVANCE 1 Variance OF START OF THE WORK (ABATEMENT ACTIVITIES)

START DATE: 4/28/03 PROJ. COMPLETION DATE: 2/31/03

I. FACILITY ADDRESS: 90 CHURCH STREET BORO: MANHATTAN ZIP: 10007 TYPE OFFACILITY: COMMERCIAL BLOCK: 86 LOT: 1 II. BUILDING OWNER NAME: UNITED STATES POSTAL SERVICE Contact JI9M HILL TEL. #: (212) 748-7844 ADDRESS: 90 CHURCH STREET CITY: NY STATE: NY ZIP: 10007 IV. ASBESTOS ABATEMENT CONTRACTOR NAME: PINNACLE ENVIRONMENTAL CORPORATION TEL. #: (718) 397.9292 FEDERAL EMPLOYER IDENTIFICATION # P 11 _...._..._._.. ADDRESS: 64.45 MAURICE AVENUE CITY: MASPETH STATE: NY ZIP: 11378 VI. LABORATORY FOR SAMPLE ANALYSIS NAME: SCIENTIFIC LABORATORIES INC - NEW YORK CI NYS ELAP #: 11480 ASBESTOS W K SCHEDULE D EVENING NIGHT WEEKENDS BADGEWEEKDAYSy(,

INSPECTOR NAME: LQL SQUAD #: 1 Al DATE OF INSPECTION: /j/ /D TIME OF INSPECTION: From: AM k? PM To: / AM '~o PM Contact at site: I

Inspection disclosed that the following sections were complied with: (Check all that apply) 1-51 - Notifications, Reports, Pla r .-' ' 71 Air Sampling and Monitorin r 1 91 - Worker Protection 1.101 - Materials and Equipment I 1 116 - Work Place Preparation 1.117 -Worker Decontamination System

~1-118 Waste Decontamination System 126 Engineering Controls / 1.127 - Entry/Exit Procedures

1 129 Maintenance of Barriers 1.138 - Encapsulation 1.139 - Enclosure

1.140 - Glovebag 1141 Tent 1-137 - ACM Disturbance, RemoveL, Handling

1.146 - Preliminary Clean-up 1.147 Final Cleanup

Project not started Inspection

revealed all start date: /

L Projec 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 Yes 1 2 3

4 5 6 Photos taken: i Yes No

Additional comments:

-- RESULT CODE — BORO 1 = MANHATTAN 2 = BRONX 3 = BROOOKLYN 4 = QUEENS 5 = STATEN ISLAND RESULT CODES 1 = VIOLATION ISSUED 2 = NO VIOLATION ISSUED 3 = NO ACCESS SUPER I ALS 4 = PROJECT NOT STARTED (NO NOV) 5 = PROJECT COMPLETED (NO NOV)

NYC-WTC 000126912