NYC 9/11 Public Portal Document
NYC DEPARTMENT OF ENVIRONMENTAL PROTECTION TOTAL FEET: 83145 600
ASBESTOS INSPECTION REPORT Basis of Inspection: EFL SF LF
103433633 0! o
ONLY TYPEWRITTEN
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. $1,200.0 5! 0
OF START OF THE WORK (ABATEMENT ACTIVITIES)
START DATE: 4/28/2003 COMPLETION DATE: 12/3112003
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. #: (212) 748-7844
ADDRESS: 90 CHURCH STREET CITY: NY STATE: NY ZIP: 10007
IV. ASBESTOS ABATEMENT CONTRACTOR
NAME: PINNACLE ENVIRONMENTAL CORPORATION
TEL. #: 17181 397-9292 FEDERAL EMPLOYER IDENTIFICATION #: PII
ADDRESS: 64-45 MAURICE AVENUE CITY: MASPETH STATE: NY ZIP: 11378
V. THIRD PARTY AIR MONITOR
NAME: AMBIENT GROUP INC.
TEL. #: 12121 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 1 i DAY fJ EVENING ❑ NIGHT ❑ WEEKENDS ❑d WEEKDAYS
INSPECTOR NAME: e5;IZL L-TC wAeV1 SQUAD #: 1 BADGE #:
DATE OF INSPECTION: n3 TIME OF INSPECTION: From: 2 '; U AM PM
To: ' l~ AM PM
Contact stake: \A4L \lru atk t - CEO
Inspection disclosed that the following sections were complied with: (Check all that apply)
1 -Notifications, Reports, Plan , - 1-71 - Air Sampling and Monitoring 1-91 Worker Protection
1-101 - Materials and Equipment 1-116 - Work Place Preparation -117 - Worker Decontamination System
1-118 - Waste Decontamination System 1-126 - Engineering Controls ,J ._-.r1-127 - Entry/Exit Procedures
1.129 - Maintenance of Barriers 1-138 - Encapsulation 1-139 - Enclosure
LI 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
revealed all ACM to be intact. New start date:
Project ongoing, expected completion date: b p
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 No
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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 L- ...
4 = PROJECT NOT STARTED (NO NOVI 5 = PROJECT COMPLETED (NO NOV)
NYC-WTC 000126920
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