NYC 9/11 Public Portal Document
NYC DEPARTMENT OF ENVIRONMENTAL PROTECTION TOTAL PEET: 7800 0
ASBESTOS INSPECTION REPORT Basis of Inspection: I FL :: LF
0
ONLY ?YPEWRI TEN TRUL942MNO2 I
A~ W wa16E NOTE: ASBESTOS INSPECTION REPORT SHALL BE SUBMITTED FEE EXEMPT: Yes 3 it2t~~o
ACCEPIED
TO NYC DEP NOT LESS THAN ONE WEEK IN ADVANCE 1. 80.00
OF START OF THE WORK (ABATEMENT ACTIVITIES)
START DATE: I I 4O oa2 COMPLETION DATE: II
L FACILITY _
ADDRESS: 9t C =&O're2{- SRO: MANHATTAN ZIP:
TYPE OFFACILI Y: BLOCK: LOT:
B. BUILDING OWNER
NAME: N/A
TEL #:
ADDRESS: N/A N/A NIA N/A CITY: N/A STATE: N/A ZIP: 11368
IV. ASBESTOS ABATEMENT CONTRACTOR
r
NAME: TRIO ASBESTOS REMOVAL CORP
TEL. #: (718) 981.4100 FEDERAL EMPLOYER IDENTIFICATION #: P11
ADDRESS: 14-20 129TH STREET CITY: COLLEGE POINT STATE: NY ZIP: 11356
V. THIRD PARTY AIR MONITOR
NAME: WAREN & PANZER GROUP
TEL #:
ADDRESS: 228 EAST 45TH STREET CITY: NEW YORK STATE: NY ZIP: 10017
VI. LABORATORY FOR SAMPLE ANALYSIS NAME: WKP LABORATORIES CIO WARREN & PANZER
NYS ELAP #: 11251
ASBESTOS WORK SCHEDULE ® DAY ® EVENING 0 NIGHT ® WEEKENDS ® WEEKDAYS
INSPECTOR NAME: R- Rte? ~yt,p hO- SQUAD #: t BADGE #:
DATE OF INSPECTION: III 0 O - (i O/p 2-TIME OF INSPECTION: From: ; Co AM PM
/ To: S , CO AM PM
Contact atske:`Jt'enM!p L &n L0cv iQ _ Ru33a / .~nL-`L— i•-re~t~._ _ ,.1 8. rs
Inspection disclosed that the following sections were complied with: (Check all that apply)
1-51 - Notifications. Reports, Plan a 1-71 - Air Sampling end Monitoring a 1-91 - Worker Protection
a 1-101 - Materials and Equipment 1-118 - Work Place Preparation 1-117 - Worker Decontamination System
1-118 -Waste Decontamination System a 1-126 - Engineering Controls 1-127 - Entry/Exit Procedures
1-129 - Maintenance of Barriers 1-138 - Encapsulation 1-139 - Enclosure
1-140 - Glovebag Q 1-141 - Tent 0 1-137 - ACM Disturbance. RemoveL, i(andling
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: / - Ali surfaces, Including abated surfaces are free of visible ACM and encapsulate
Follow up necessary on / /
Samples taken: No 0 Yes 1 2 3
4 5 8 Photos taken: [j] Yes ER No
Addltionnal comments:
a&cl ) v¢kad1etc -T, ara~Oi f
i6t
.Y~,.t t 4g
it. Q It -
ti i. c rea..j a r rl tie~ 64 t io,sn
can
ks QY1
Pfd c s
aesulTcoce
BORO 1 a MANHATTAN 2 s BRONX 3 - BR000KLYN 4 s QUEENS 5 @ STATEN ISLAND
RESULT CODES 1 - VIOLATION ISSUED 2 - NO VIOLATION ISSUED 3 e NO ACCESS R
saruts
4 - PROJECT NOT STARTED (NO NOV) 5 s PROJECT COMPLETED (NO NOV) ~Q
NYC-WTC 000128509
OCR can misread numbers and units. Confirm readings against the page image before using them.