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Permit application project monitor log for full-containment abatement

Machine-extracted title · confidence 90%

Application form for a permit covering a large-scale full-containment asbestos abatement project.

NYC-WTC_000177462–000177465
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NYC 9/11 Public Portal Document

(Satc fl. Clienl; Project Nane: PROJECT MONITOR LOG 3 Project Address: 4 Pro|ect # Pari 2

! 4a. Task #: .|,r P !___ Z- prep-inspe;ction checklist; Work Area Location: Pass Fail NA Pass Fai NA

1. Vacated by occupants 8. Openings <32tt covered by 2 lyrs poly. 2. Warning Signs (Eng, Sp), 9 Openings ;>32(t covered by plywood and two layers of poly. 3. Elecl'icity down/locked out. 10 Movable objects pre-cleaned, removed 4. Power oulsidc work with GFI from area. 5, HVA(3 off, locked-out. isolated 11. Fixed objects pre-cleaned, plasticized or pressurized 12. Floor poly 6" onto walls (12'--^ NYS) 6, DECONTAMINATION UNIT: 13. Wail poly to the floor. • Outside work area 14.6' overlap between adjacent sheets • CIn, shwr, eqpt rooms of poly • 2 layers, 6-mil wall poly 1 5. Elevator bypasses work area. • :? layers, 6-mil floor poly 16. Plywood poly barrier before elevator • I shower per 6 workers doors.

• Hot/cold water 17 Perimeter diaphragm for elevator barrier • Waste water < 5 microns I 8 4 air changes per tiour from negative • Waste water sewer/ctrum air unit • Soap/Shampoo 19. Nev; filters in negative air units. I • Disposable towels 20 Negative air pressure > 0.02 • Waste bags 21. Minimum 2 means of exiting wo'k area. I 7. POSTINGS: 22. Toilet for abatement personnel. • Regulations 23. Waste Decon for > 1,000 ft. ACM (NYC, NYS, OSHA EPA) 24. The following additional equipment; - Bign-in logs • 6-mil disposable bags with • Evacuation Plan warning labels • Supervisor's license • Poiy and Duct Tape • Worker licenses • Fire extinguisher • ACP-7 • Approved respirator • Building Permit/Placard • Beplacement filters • EPA 10-day notification • Protective Clothing • NYS Nolilication 25. Work area pre-cleaned • Emergency Numbers 26. Work area passes inspection • Material Data Sheets

PRE-ENCAPSULATION/EINAL INSPECTION CHECKLIST: Work Area Location;

Pass Fan N/A Pass Fail M/A j 8 No bags of waste in work area. 1. No Visible debris on walls, floors 2. No Visible debris between decking 9 Ail equipment clean and beams, 10. Neg Air _> 0.02 inch, of water. 3, No v sible debris behind perimeter columns. 11. Airless spray equipment used.

i 4. No visible debris on top of ducts 12. Work area is dry, free of water pools.

I 5. No vsible debris on hangers, rocs, 13. The area suitable for encapsulation lights. 14 The area suitable for final air clearance I 6. No Visible debris on poly. 15. Work area passes inspection. Yes___ No (E.olain why) 7. No visible debris on pipes Fc rn NY-9 1/01

CONFIDENTIAL, CITY_21MC100_003446306 SUBJECT TO PROTECTIVE ORDER NO. 2, SEPT. 2008

NYC-WTC_000177464

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NYC-WTC_000177464Source: NYC Law Department, mirrored locally

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