NYC 9/11 Public Portal Document
NYC DEPARTMENT OF ENVIRONMENTAL PROTECTION TOTAL FEET: 7600 0
ASBESTOS INSPECTION REPORT Basis of Inspection: FL J LF
TRUE I MNo2j oJ 5 01
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APPucarlonrs wet BE NOTE: ASBESTOS INSPECTION REPORT SHALL BE SUBMITTED FEE EXEMPT: Yee "E (q7,0/O
ACCEPTED 1. 80.00
TO NYC DEP NOT LESS THAN ONE WEEK IN ADVANCE
OF START OF THE WORK (ABATEMENT ACTIVITIES)
START DATE: ff O02 COMPLETION DATE: /7j4 11312002
t L FACILITY
ADDRESS: ~9 `( = Coe1~ BORO: MANHATTAN ZIP:
TYPE OFFACILLTY: BLOCK: LOT:
S. BUILDING OWNER
NAME: N/A
TEL. #:
ADDRESS: WA N/A NIA N/A CITY: N/A STATE: N/A ZIP: 11368
IV. ASBESTOS ABATEMENT CONTRACTOR
NAME: TRIO ASBESTOS REMOVAL CORP
TEL. 8: (718) 961-4100 FEDERAL EMPLOYER IDENTIFICATIONS: P11 _
ADDRESS: 14-20 129TH STREET CITY: COLLEGE POINT STATE: NY ZIP: 11368
V. THIRD PARTY AIR MONITOR
NAME: WAREN & PANZER GROUP
TELl:
ADDRESS: 228 EAST 46TH STREET CITY: NEW YORK STATE: NY ZIP: 10017
VI. LABORATORY FOR SAMPLE ANALYSIS NAME: WKP LABORATORIES C/O WARREN & PANZER
NYS FLAP N: 11251
ASBESTOS WORK SCHEDULE ® DAY ® EVENING ❑ NIGHT ® WEEKENDS ® WEEKDAYS
INSPECTOR NAME: to okmrr SQUAD 5: / BADGE 0:
DATE OF INSPECTION: I/ ®6/O2_1/ TIME OF INSPECTION: From: . AM PM
Contact at eke: _g
Inspection disclosed that the following sections were compiled with: (Check an that apply)
a 1-51 - Notifications, Reports, Plan [1] 1-71 - Air Sampling and Monitoring a 1-91 - Worker Protection
1-101 - Materials and Equipment _1-116- Work Place Preparation 1-117 - Worker Decontamination System
LI]1-118 - Waste Decontamination System[1]1-128. Engineering Control 1-127 - Entry/Exit Procedures
1-129 - Maintenance of Barriers 1-138 - Encapsulation 1-139 - Enclosure
1-140 - Glovebag O 1-141 - Tent a 1-137 - ACM Disturbance, Removal, dandling
1-148 - Preliminary Clean-up 1-147 - FInel Clean-up
a Project not started . Inspection
revealed all ACM to be intact New start date: /
a 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 Yes 1 2 3
4 5 8 Photos taken: O Yes No
Additional comments:
7/ I
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10 0 2 mO , c.t
e 21 s4ee v
9,r3 .4J ell or
Bta{AT cADE
BORO I - MANHATTAN 2 - BRONX 3 e BROOOKLYN 4 - QUEENS 5 - STATEN ISLAND
RESULT CODES I m VIOLATION ISSUED 2 .. NO VIOLATION ISSUED 3 - NO ACCESS errunta
4 m PROJECT NOT STARTED (NO NOV) 5 m PROJECT COMPLETED (NO NOV)
NYC-WTC 000128522
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