NYC 9/11 Public Portal Document
NYC DEPARTMENT OF ENVIRONMENTAL PROTECTION TOTAL FEET: 83145 600
ASBESTOS INSPECTION REPORT Basis of Inspection: JFL SF LF
00 0
ONLY TYPEWRITTEN
103433633 0 0
APPLICATIONS WILL BE --
NOTE: ASBESTOS INSPECTION REPORT SHALL BE SUBMITTED FEE EXEMPT: No "--- _---"
ACCEPTED
TO NYC DEP NOT LESS THAN ONE WEEK IN ADVANCE 1. 51,200.0 45 0
OF START OF THE WORK (ABATEMENT ACTIVITIES)
START DATE: 4128/2003 COMPLETION DATE: 12/31/2003
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
TEL. #: 12121 748-7844
ADDRESS: 90 CHURCH STREET CITY: NY STATE: NY ZIP: 10007
IV. ASBESTOS ABATEMENT CONTRACTOR
NAME: PINNACLE ENVIRONMENTAL CORPORATION
TEL. #: (7181 397-9292 FEDERAL EMPLOYER IDENTIFICATION if : P11
ADDRESS: 64-45 MAURICE AVENUE CITY: MASPETH STATE: NY ZIP: 11378
V. THIRD PARTY AIR MONITOR
NAME: AMBIENT GROUP INC.
TEL. #: 1212) 463-7812 ---- - -- --------
ADDRESS: 55 WEST 39TH STREET CITY: NEW YORK STATE: NY ZIP: 10001
VI. LABORATORY FOR SAMPLE ANALYSIS NAME: SCIENTIFIC LABORATORIES INC - NEW YORK CI
NYS ELAP #: 11480 - - ---
ASBESTOS WORK SCHEDULE © DAY Chi EVENING ❑ NIGHT ❑ WEEKENDS ❑d WEEKDAYS
INSPECTOR NAME: (jk'ylL C. I4w" &'1 ' SQUAD #: , BADGE #: S~
DATE OF INSPECTION: rj Z- 13Z TIME OF INSPECTION: From: } 3 v AM PM ~
Contact at site: Ql iyy,e l;-Q t'- t J t JG W.I
Inspectio isclosed that the following sections were complied with: (Check all that apply)
.
1 -Notifications, Reports, Plan j -71 - Air Sampling and Monitoring , 91 -Worker Protection
101 - Materials and Equipment ; . 1 1-116 - Work Place Preparation .-i17 - Worker Decontamination System
118 - Waste Decontamination y
System ~ Engineering Controls
1-126 - g' - ' 1-127 - Entry/Exit Procedures
1-129 - Maintenance of Barriers 1-138 - Encapsulation 1.139- Enclosure
1-140 - Glovebag 1-141 - Tent . -1-137 - ACM Disturbance, RemoveL, Handling
1-146 - Preliminary Clean-up 1-147 - Final Clean-up '..
Project not started Inspection
rev led all ACM to be intact. New start date:
Project ongoing, expected completion date:
..-
)3 t
Project completed on or about: . All surfaces, including abated surfaces are free of visible ACM and encapsulate
Follow up necessary on
Samples taken: No Yes 1 2 3 ---.
4 5 6 Photos taken: Yes
Additional comments: jxwJ R 1 0
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RESULT CODE
BORO 1 = MANHATTAN 2 = BRONX 3 = BR000KLYN 4 = QUEENS 5 = STATEN ISLAND
RESULT CODES 1 = VIOLATION ISSUED 2 = NO VIOLATION ISSUED 3 = NO ACCESS
SUPERVI TIALS
4 = PROJECT NOT STARTED (NO NOV) 5 = PROJECT COMPLETED INC NOVI
NYC-WTC 000126919
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