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~ PROJ. No: - 4 2c~- 0.6 <br />~~~,~~-~ ~~~.~+'- DATE 6- I~ -9-I Pg. "~-- of 2- <br />~ See air monitoring reports of this date~ <br />~~~REE ~ZIVERS <br />- ENVIItONMENTAL <br />VIS UAL INSPECTION REPORT <br />PROJECT NAME:~~~`-'~~v~Ty~~ti ~V~`~ PROJ. MANAGER: S~~~- <br />~ ri-r-w~^^wnlrrtl ~V~~M-<Nr: ~~,~v~y ~1-~~~-4r~vr AREA OF INSPECTION: <br />OWNER PROVIDID ON-SITE CONTACT: ~~ation of Containment) <br />CL1-t -~v~v1 ~11~ V,~ ~~I~t'I~nrr <br />NAME: ~IS.~ ST~j'Tl/!'~( ~ Sfi~TUI~! ~au5fl~~rlGa ~,~,,-,4-i u~ f-~i,uo~c -r~ r~ A-Nb T111J2H~L <br />LEA DESIGNATE: ~ -~`1~ ~~~~'~~'J <br />CONTRACI'OR: `P ~ ~ ' ~-~ <br />SUPERVISOR: ~~tM ~JENIb <br />DISPOSAL SITE: ~ <br />PRE ABATEMENF SAMPLE RESULTS: <br />(If Applicable) <br />DATE: <br />TS <br />SAMPLE NO. <br />TEM ^ <br />REGUI.ATED AREA CORRECI'ION <br /> REQUIRED <br />Negative Pressure Enclosure: ~ No YEs <br />PII2SONAL AIR MOMTORS USED: ~ ( ) <br />PROTECTIVE CLOTHING: aA ( ) <br />PIIZSONNEL USING DECON: p'N ( ) <br />EXCESSIVE DEBRIS; 41'~ ( ) <br />ENCAPSULATIOI~I ADEQUATE: 4N ( ) <br />CRITICAL BARIflRS ADEQUATE: W~ ( ) <br />NEGATIVE AIR ADEQUATE: dIa ( ) <br />DECON ADEQUATE: GIQ ( > <br />CLEAN ROOM ADEQUATE: l~ ( ) <br />SHOWER FILTERED AND ADEQUATE: (h) ( ) <br />Personal Protective Euuipment Wom By Inspector inside <br />Regulated Area: <br />Respirator: l/2 Face ~ Full Face () PAPR () Type C() <br />Disposable Coveralls: ~ <br />Time of Inspection: <br />PASS: ~ FAIL: 0 <br />VISUAL INSPECTION LOG (List cury exceptions jound duri~tg tJiis inspection i»cludi~rg; visible <br />debris, location of debris found, contairunent integrity, excessive airborne encapsulant, damaged areas, etc.) <br />THREE RIVERS ENVIRONMEIVTAL represenlative cerlifees that he has visually inspected the specific <br />work area (as mentioned above) and verifies that the inspection has been thourough and to the best of <br />his knowledge and belief, has found no asbestos containing dust or deb! is._~ <br />NAME: ~JE-~ c ~1~1 t-~~ <br />