NYC 9/11 Public Portal Document
NYC DEPARTMENT OF ENVIRONMENTAL PROTECTION TOTAL FEET: 7600 0
ASBESTOS INSPECTION REPORT Basis of Inspection: FL -i j LF
ONLY7WEwRITEN
TRU" ..MNO21 RD 7,600 o
APPLCATION81y1tL BE NOTE: ASBESTOS INSPECTION REPORT SHALL BE SUBMITTED FEE EXEMPT: Yes
ACCEPTED
TO NYC DEP NOT LESS THAN ONE WEEK IN ADVANCE 1. 80.00
OF START OF THE WORK (ABATEMENT ACTIVITIES)
START DATE: (O11972002 COMPLETION DATE: 11019'!2002
L FACILUUY
ADDRESS: '4 jyIW jc—1 fr e,S BORO: MANHATTAN ZIP:
TYPE OFFACILITY: BLOCK: LOT:
Ii. BUILDING OWNER
NAME: N/A
TEL. !:
ADDRESS: N/A N/A N/A N/A CITY: N/A STATE: N/A ZIP: 11368
IV. ASBESTOS ABATEMENT CONTRACTOR
NAME: TRIO ASBESTOS REMOVAL CORP
TEL. 1: (718) 961-4100 FEDERAL EMPLOYER IDENTIFICATION I: ; P 11
ADDRESS: 1420 129TH STREET CITY: COLLEGE POTNT-- STiATr NY ZIP: 11356
V. THIRD PARTY AIR MONITOR
NAME: WAREN & PANZER GROUP
TEL. 5:
ADDRESS: 228 EAST 45TH STREET CITY: NEW YORK STATE: NY ZIP: 10017
VI. LABORATORY FOR SAMPLE ANALYSIS NAME: WKP LABORATORIES C/O WARREN & PANZER
NYS ELAP S: 11251
ASBESTOS WORK SCHEDULE ® DAY ® EVENING 0 NIGHT ® WEEKENDS ® WEEKDAYS
INSPECTOR NAME: R- R4_,, ' ynobavt^J SQUAD is I BADGE 0: 4
DATE OF INSPECTION: —_ ME OF INSPECTION: From: AM PM
IO 2S 02. To: 730 AM. PM
Contact at site: TYerIP_tr._ GLIO-mcCA.ul L .._ u t
Inspection disclosed that the following sections were compiled with: (Check all that apply)
1-51 - Notifications, Reports, Plan 1-71 - Air Sampling and Monitoring 1-91 - Worker Protection
fl 1-101 - Materials and Equipment fl 1-116. Work Place Preparation [ 1-117 - Worker Decontamination System
fl 1-118- Waste Decontamination System 1-126 - Engineering Controls 1-127 - Entry/Exit Procedures
1-129 - Maintenance of Barriers a 1-138 - Encapsulation 1-139 - Enclosure
1-140 - Glovebag 1-141 - Tent 1-137 - ACM Disturbance, RemoveL, -Handling
a 1.146 - Preliminary Clean-up a 1-147 - Final Clean-up
Project not started . Inspection
revealed all ACM to be Intact. New start date: /
Project ongoing, expected completion date: /
O 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 B 6 Photos taken: O Yes No
®
Additional comments: —
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BORO I - MANHATTAN 2 - BRONX 3 a BROOOKLYN 4 QUEENS 6 - STATEN ISLAND
RESULT CODES 1 e VIOLATION ISSUED 2 m NO VIOLATION ISSUED 3 e NO ACCESS
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suPeavtw
4 a PROJECT NOT STARTED (NO NOV) 5 ' PROJECT COMPLETED (NO NOV)
NYC-WTC 000128401
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