NYC 9/11 Public Portal Document
NYC DEPARTMENT OF ENVIRONMENTAL PROTECTION TOTAL PEEr: 7600 0
ASBESTOS INSPECTION REPORT Basis of Inspection: IFL sF LF
0 7,8001 01
'iRU'. :MN02
ONLYTYPEW N
EXEMPT: Yes
APPLICATIONS WBt ME I NOTE: ASBESTOS INSPECTION REPORT SHALL BE SUBMITTED I FEE
ACCEPTED
TO NYC DEP NOT LESS THAN ONE WEEK IN ADVANCE 1- *0•00
OF START OF THE WORK (ABATEMENT ACTMTIES)
START DATE: IC 1a572002 COMPLETION DATE (O1002
L FACILITY ,~.~~~"-~~~
ADDRESS: 34 Gj w. C j MY BORO: MANHATTAN ZIP:
TYPE OFFACIUTY: BLOCK: LOT:
II. BUILDING OWNER
NAME: N/A
TEL B:
ADDRESS: N/A N/A N/A NIA CITY: N/A STATE N/A ZIP: 11368
IV. ASBESTOS ABATEMENT CONTRACTOR
NAME: TRIO ASBESTOS REMOVAL CORP PI I
TEL. 8: (718) 981-4100 FEDERAL EMPLOYER IDENTIFICATION 4:
ADDRESS: 14.20 129TH STREET CITY: COLLEGE POINT STATE: NY ZIP: 11356
V. THIRD PARTY AIR MONITOR
NAME: WAREN & PANZER GROUP
TEL 8:
ADDRESS: 228 EAST 45TH STREET CITY: NEW YORK STATE NY ZIP: 10017
VL LABORATORY FOR SAMPLE ANALYSIS NAME: WKP LABORATORIES C/O WARREN & PANZER
NYS ELAP 8: 11251
ASBESTOS WORK SCHEDULE ® DAY ® EVENING 0 NIGHT ® WEEKENDS ® WEEKDAYS
INSPECTOR NAME: . RGyrpl rk0664-7 SQUAD 8: + BADGE 8:
DATE OF INSPECTION: ME OF INSPECTION: From: AM PM
I®ZS O2.. To: AM PM
3O
Contact at alts: w o- n oczAd Rr ~.. v I s_. -- ,t
Inspection disclosed that the following sections were compiled with: (Check all that apply)
ED 1-51 - Notifications. Reports, Plan 1-71 - Air Sampling and Monitoring 1-91 - Worker Protection
1-101 - Materials and Equipment 1-116 - Work Place Preparation 1—F 1-117 - Worker Decontamination System
1-118 -waste Decontamination System 0 1-126 - Engineering Controls O 1-127 - Entry/Exit Procedures
a 1.129 - Maintenance of Barriers 1-138 - Encapsulation Q 1-139 - Enclosure
1-140 - Glovebag a 1-141 - Tent 0 1-137 - ACM Disturbance, RemoveL, }candling
Q 1-146 - PrelIminary Clean-up O 1-147 - Final Clean-up
Project not started . Inspection
revealed all ACM to be intact. New start date: /
El Project ongoing, expected completion date: /
El Project completed on or about: / . All surfaces, Including abated surfaces are free of visible ACM and encapsulate
O Follow up necessary on / /
Samples taken: No a Yes 1 2 3
4 5 a Photos taken: El 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
4 s PROJECT NOT STARTED fO NOVI 5 = PROJECT COMPLETED (NO NOV)
NYC-WTC 000128487
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