Permit application project monitor log for large abatement project

NYC 9/11 Public Portal Document

PROJECT MONITOR LOG Part 1 1. Client: 2. Project Name: . ,7 4. Project #: 5. Work Area(s):

4a. Task #: SI . OOOO'i. 6. Contractor; Ac ir O--A 7. Contractor's Foreman; 8. ATC Representative: 9. Date:

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Type of Project; Full-Containment Tent-Containment Glovebagging Other

Size of Project: Large (> 160 sq. ft., 260 lin. ft. of ACM) Small (< 160 sq.ft., 260 lin. ft.)

Phase of Abatement: Pre-abatement Sampling Prep Removal Cleaning

Encapsulation Waste Load-out Finals

FULL-CONTAINMENT ABATEMENT

Work Area Location (fioor, room, section):

Preparation of Work Area: Yes (Indicate prep work performed in 1 -10) N/A (If already completed)

1. Construction of Decon. Yes No 2. Ceiling Poly: Yes No 3. Critical Barriers (CBs): Yes No 4. Wall Poly: Yes No 5. Removal to establish CBs: Yes No 6. Floor Poly: Yes No 7. Negative air: Yes No 8. Pre-cleaning: Yes No 9. Prep work completed: Yes No 10. Temporary Power: Yes No 11. Other_________ Yes No 12. Prep-Inspection Passes: Yes No (Explain why)

Removal: Yes (Complete 1 - 5) N/A

1. Type of ACM: Pipe Insulation Duct Insulation Fireproofing Ceiling Tile Boiler Insulation Transite Boards Floor Tile Other:

2. Negative air pressure > 0.02 in. of water: Yes No 3. Amended water used during removal: Yes No 4. Critical barriers intact for shift's duration: Yes No 5. Proper Decon procedures followed: Yes No Cleaning: Yes (Complete 1 - 6 ) N/A

1. 1 st stage 2nd Stage 3rd Stage 2. 12/12-hour waiting period after 1 st cleaning: 3. Removal of 1st poly layer after 1st cleaning: Yes No 4 4/12-hour waiting period after 2nd cleaning: Yes No 5. Removal of 2nd poly layer after 2nd cleaning: Yes No 6. 1 /12-hour waiting period after 3rd cleaning: Yes No

TENT-CONTAINMENT ABATEMENT

Work Area Location (floor, room, section):

Preparation of Work Area; Yes (Indicate prep work performed in 1 - 6) N/A (If already completed)

1. Construction of Tent: Yes No 2. Pre-cleaning: Yes No 3. Construction of Decon: Yes No 4. Negative Air: Yes No N/A 5. Prep work completed: Yes No 6. Pref-inspection passes: Yes No Removal: 1. Type of ACM: Pipe Insulation Duct Insulation Fireproofing Ceiling Tile Boiler Insulation Transite Boards Floor Tile Other: 2. Method or Removal: Gross removal within tent Glovebag removal within tent (check 3 through 8)

(If Glovebag Removal Check 3 through 8) 3. Glovebags smoke-tested: Yes No 4. Glovebags attached to smooth surface: Yes No 5. Amended water used: Yes No 6. Removal included cleaning and encapsulation: Yes No 7. Open/damaged ends of insul. sealed; Yes No 8. Glovebags vacuumed, double-bagged: Yes No Continued on Back Form NY-8 1/01

CONFIDENTIAL, CITY_21MC100_003446250 SUBJECT TO PROTECTIVE ORDER NO. 2, SEPT. 2008

NYC-WTC_000177454