NYC 9/11 Public Portal Document
)
NYC DEPARTMENT OF ENVIRONMENTAL PROTECTION TOTAL FEET: 7800 0
ASBESTOS INSPECTION REPORT Basis of Inspection: FL L L. LF 1
S I TRUTAIMNO2
QNLYTYPEWRATEN
APPLWAllONS MBJ.09 FEE EXEMPT: Yes 6k f 2
NOTE: ASBESTOS INSPECTION REPORT SHALL BE SUBMITTED
ACCiP7EN 1. $0.00
TO NYC DEP NOT LESS THAN ONE WEEK IN ADVANCE
OF START OF THE WORK (ABATEMENT ACTIVITIES)
START DATE: 1 2002 COMPLETION DATE: I J' - 002
L FA ILITY
ADDRE yf3rj Gj -,SJ7 BORO: MANHATTAN ZIP:
TYPE OFFACIUTY(/}j4) QI _2R sa c BLOCK: LOT:
A. BUILDING OWNER
NAME: N/A
TEL is
ADDRESS: N/A N/A N/A N/A CITY: N/A STATE: N/A ZIP: 11388
W. ASBESTOS ABATEMENT CONTRACTOR
NAME: TRIO ASBESTOS REMOVAL CORP
TEL. /: 1718) 951-4100 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 It
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 d: 11251
ASBESTOS WORK SCHEDULE ® DAY ® EVENING 0 NIGHT ® WEEKENDS ® WEEKDAYS
INSPECTOR NAME: R , ~2G A-xM1 SQUAD /: / BADGE I: 4'7g
DATE OF INSPECTION: / /_/0/L) 2— TIME OF INSPECTION: From: AM PM
To: 5 AM E PM
ry^
Contact at a1te:LYI?G(IS'J. !a/pyn B.~`Y 8,l ~42a~ _/
e
_1L ~oL.i4 t_ ci. L.—i,.,.r i.i 11 »_
Inspection disclosed that the following sections were complllld with: (Check all Ofst apply)
[1]1-51- Notifications. Reports, Plan _1-71- Air Sampling and Monitoring E] 1-91 - Worker protection
1-101 - Materials and Equipment _1-118 - Work Place Preparation E] 1-117 - Worker Decontamination System
1-118 - Waste Decontamination System Q 1-128 - Engineering Controls _1-127- EntrylEzit Procedures
a 1-129 - Maintenance of Barriers 1-138 - Encapsulation 1-139 - Enclosure
1-140 - Gbvebag a 1-141 -Tent O 1-137 - ACM Disturbance. RemoveL, handling
1-146 - Preliminary Clean-up 1-147 - Final Clean-up A
Eli] Project not started - Inspection
revealed aU ACM to be intact. New start date:
Project ongoing, expected completion data: /
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
l~
4 5 8 Photos taken: = Yes No
Additional comments:
five hcdr tea.
..
c
RESULT CODE
BORO 1 MANHATTAN 2 - BRONX 3 - BR000KLYN 4 — QUEENS 5 - STATEN ISLAND
RESULT CODES 1 = VIOLATION ISSUED 2 - NO VIOLATION ISSUED 3 - NO ACCESS nRruus
4 — PROJECT NOT STARTED INC NOV) 5 - PROJECT COMPLETED (NO NOV)
NYC-WTC 000134008
OCR can misread numbers and units. Confirm readings against the page image before using them.