WTC debris inspection form, 94 1/2 Greenwich Street

NYC 9/11 Public Portal Document ASBESTOS INSPECTION REPORT (continued) 26. Asbestos Hauler ASBESTOS TRANS. CO. NYS DEC Permit # 1A-371 _Tel.# (631) 924-5050 Disposal Sito(s) IMPERIAL-P.O. 47, 11 BOGGS RD.,PA./ SOUTHERN ALLEGHANIES- VALLEYVIEW DR., PA. 27. This asbestos abatement is part of a (Item a through e requires filing of this form with NYC Department of Buildings) a) • Demolition b) •Boiler Replacement c) O Sprinkler Replacement e) Fireproofing Replacement 1) [l Other (Describe) d) Renovation/Alteration 28. TYPE OF ABATEMENT (Check all appropriate boxes) • Removal • Enclosure Encapsulation L Repair • Clean up 29. ABATEMENT PROCEDURE (Check all appropriate boxes) L Full Containment • Glovebag • Tent DEP Variance Application 30. LOCATIONS OF ABATEMENT DESCRIBE SECTION Floor(s) OF FLOOR (e.g. entira, eest wing, room #. boiler room, lobby, otc) ROOF ROOF MAIN & SETBACKS AFFECTED SURFACES CONTAINING ACM (e.g. Pipe lagging, colling, plenum ducts, storsge tanks, docking, otc.) ASPHALT ROOF FACADE AMOUNT OF ACM T DESCRIPTION OF WORK BEING SQUARE LINEAR FEET PERFORMED FEET 1,920 1,500 ITEM#1 ITEM#7 31. Ihereby declare that the information provided herein is true and complete to the best of my knowiedge. I am familiar with Federal, State and NYC laws and regulations applicable to asbestos related work. WARREN & PANZER ENG., P.C. Print Name of Air Monitor omuag Signature 11/07/02 Date TRIO ASBESTOS REMOVAL Print Name of Asbestos Contractor Sta STEVEN PARMIGIANI Print Name of Applicant (if ofher than Owner) Stw Signature 11-6-02 11-6-02 Date Date 32. I understand that as the owner of a building where asbestos abatement activity occurs, I am responsible for the performance of the asbestos abatement activities inaccordance with the Asbestos Control Program Rules.I have contracted the third party air monitor who is completely independent of all parties involved in the asbestos project. I hereby declare that I have authorized the flling of this notification for the work specified herein. NYC ДEP Print Name of Oer naMoky Signature 11/7/02 A STAMPED COPY OF THIS FORM INCLUDING AMENDMENTS MUST BE AVAILABLE AT THE WORK SITE. Any modification of information provided on this form must be reported immediately in writing directly to the NYC DEP ACP. The requirements of theAsbestos Control Program Rules may not be lawfully avoided or lessened through the performance of work in incremental or piecemeal fashion. ACPT 212001 NYC-WTC_000128524