NYC 9/11 Public Portal Document
• - NYC DEPARTMENT OF ENVIRONMENTAL PROTECTION TOTAL FEET: 7600 0
ASBESTOS INSPECTION REPORT Basis of Inspection: FL sF LF
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APPL=7i SWatu NOTE: ASBESTOS INSPECTION REPORT SHALL BE SUBMITTED FEE EXEMPT: Yea ,3g2,ol-7 ,
ACCEPTED
TO NYC DEP NOT LESS THAN ONE WEEK IN ADVANCE 1. 80.00
OF START OF THE WORK (ABATEMENT ACTIVITIES)
START DATE: I I 2 COMPLETION DATE: (f • 2002
L FACILITY _
1
ADDRESS: G] .(n7JCG, dr - BORO: MANHATTAN ZIP:
TYPE OFFACILtTY: BLOCK: LOT:
II. BUILDING OWNER
NAME: NIA
TEL 0:
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. •: (718) 961-4100 FEDERAL EMPLOYER IDENTIFICATION 9 : P11
ADDRESS: 14-20 129TH STREET CITY: COLLEGE POINT STATE: NY ZIP: 11356
V. THIRD PARTY AIR MONITOR
NAME: WAREN & PANZER GROUP
TEL. if:
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;: 11251
ASBESTOS WORK SCHEDULE ® DAY ® EVENING ❑ NIGHT ® WEEKENDS ® WEEKDAYS
INSPECTOR NAME: (.t- Rffi/mm-p l6 -m SQUADS: BADGE is
.
DATE OF INSPECTION: 1,11° — (I/(O/O2-TIME OF INSPECTION: From: :co AM PM
4 70: ^ ^ 40 AM .
Contact at cite: Yetzs
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Inspection disclosed that the following sections were complied with: (Check all that apply)
1.51 - Notifications, Reports, Plan 1-71 - Air Sampling and Monitoring fl 1-91 - Worker Protection
1-101 - Materials and Equipment E] 1.116. Work Place Preparation 1-117 - Worker Decontamktation System
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1.118 -Waste Decontamination System 0 1-126 -Engineering Controls 1-127 - Entry/Exit Procedures
1-129 - Maintenance of Barriers 1-138 -Encapsulation 1-139 - Enclosure
1-140 - Glovebeg 0 1-141 -Tent 1-137 -ACM Disturbance, Removal, .Handing
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: /
Project completed on or about: / . All surfaces, Including abated surfaces are free of visible ACM and encapsulate
Follow up necessary on / /
Samples taken: No O Yes 1 2 3
4 5 a Photos taken: O Yes No
Additional comments:
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BORO I - MANHATTAN 2 - BRONX 3 - BROOOKLYN 4 - QUEENS 5 - STATEN ISLAND
RESULT CODES 1 - VIOLATION ISSUED 2 - NO VIOLATION ISSUED 3 - NO ACCESS
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4 - PROJECT NOT STARTED (NO NOV) 5 - PROJECT COMPLETED (NO NOV) ? Q
NYC-WTC 000128483
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