NYC 9/11 Public Portal Document
A
ti NYC DEPARTMENT OF ENVIRONMENTAL PROTECTION TOTAL FEET: 7600 0
ASBESTOS INSPECTION REPORT Basis of inspection: FL sF LF
aYcrlrrtwwrrEa TRU1t•4tMNO2 RO o
APPLIC CONS *XL W NOTE: ASBESTOS•INSPECTION REPORT SHALL BE SUBMITTED FEE EXEMPT: Yes „c4g f qy o/O
ACCEPTED
TO NYC DEP NOT LESS THAN ONE WEEK IN ADVANCE 1. 80.00
OF START OF THE WORK (ABATEMENT ACTMTIES)
START DATE: ///Afoo2 COMPLETION DATE- //F// 2OO2
L FACILITY
ADDRESS: BORO: MANHATTAN ZIP:
TYPE OFFACIUTY: BLOCK: LOT:
II. BUILDING OWNER
NAME: N/A
TEL B:
ADDRESS: N/A N/A N/A N/A CITY: N/A STATE: N/A ZIP: 11368
N. ASBESTOS ABATEMENT CONTRACTOR
r•
NAME: TRIO ASBESTOS REMOVAL CORP
TEL. 5:
/: (718) 961.4100 FEDERAL EMPLOYER IDENTIFICATIONS: P11
ADDRESS: 14-20 129TH STREET CITY: COLLEGE POINT STATE: NY ZIP: 11358
V. THIRD PARTY AIR MONITOR
NAME: WAREN & PANZER GROUP
TEL B:
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: R. R tr-rkse SQUADS: / BADGES: /Qdy~
/'/.2 6/O21'
DATE OF INSPECTION: TIME OF INSPECTION: From: AM
0 PM
To: AM PM
Contact at site: SYG~112dta_ r,~o nr:3!i~ X422® / , i... i. - ter_•s.- . .
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 a 1-116 - Work Place Preparation 1-117 - Worker Decontamination System
[]
1.118- Waste Decontamination System a 1-126 - Engineering Controls Q 1.127 - Entry/Exit Procedures
1-129 - Maintenance of Barriers 1-138 - Encapsulation 1.139 - Enclosure
1-140 - Glovebag Q 1-141 -Tent a 1-137 -ACM Disturbance, RemovaL .Handll ng
1-146 - Preliminary Clean-up 1-147 - Final Clean-up
Project not started - Inspection
revealed all ACM to be intact. New start date: /
I Project ongoing, expected completion date: /
Project completed on or about: / . Al surfaces, Including abated surfaces are free of visible ACM and encapsulate
Follow up necessary on / /
Samples taken: No Yee 1 2 3
4 5 8 Photos taken: D Yes No
Additional comments: !
v
d2 , e4 Lepy b..af
4r mw?
t Zo -
tl<~t tt Q. M~ Ltnu - t
fO 2 wta
RESULT CODE
BORO I = MANHATTAN 2 - BRONX 3 e BROOOKLYN 4 = QUEENS 5 - STATEN ISLAND
RESULT CODES 1 = VIOLATION ISSUED 2 - NO VIOLATION ISSUED 3 - NO ACCESS
save am us
4 - PROJECT NOT STARTED (NO NOV) 5 - PROJECT COMPLETED (NO NOVI
NYC-WTC 000128519
OCR can misread numbers and units. Confirm readings against the page image before using them.