Asbestos inspection form, 47 Hudson Street, Oct 2001

NYC 9/11 Public Portal Document

WTC Visual Survey Form ►remise Address: I

(c: ) Block: Residential 0 Commercial D Name of Building: Lot: Mix Use 0 Other # of Stories: AKA's: Building Owner/Management: Telephone Number: ( ) Name: FAX: Address: On Site Contact: Name: ' - .. . Telephone Number: Building Owner Management Activities Interior Survey Performed ❑ Yes ❑ No Exterior Survey Performed ❑ Yes ❑ No General Clean Up ❑ Yes ❑ No Locations: ACM Clean Up ❑ Yes ❑ No Locations: Air Monitoring ❑ Yes ❑ No Locations: Copies of All Reports and Data Requested Yes

Visual Inspection Results: Facade: Inspected Debris North ❑ N/A Yes ❑ No gNo Visible/Fine Layer 934 to 1" ❑ >V South East West RNIAN/A

-N/A [Yes ❑ No ❑ Yes ❑ D Yes ❑ No No ❑ No Visible/Fine Layer ❑ No Visible/Fine Layer ❑ No Visible/Fine Layer ❑ i,4 to V ❑ % to 1' ❑ % to 1" ❑ >1" ❑ > 1" ❑ > 1' Facade Description:

Roof

Debris: 2fNo Visible (Fine Layer ❑34to1' ❑>1' Description:

Setbacks N/A ❑ Floor. Debris: ❑ No Visible/Fine Layer ❑ Sh to 1" 0>1' Floor. Debris: ❑ No Visible/Fine Layer ❑ 34 to 1" ❑ > 1" Floor. Debris: ❑ No Visible/Fine Layer ❑ Y: to 1" ❑ > 1' Floor. Floor. No Debris: ❑ No Visible/Fine Layer ❑% to 1' Debris: ❑ Visible/Fine Layer ❑ i4 to 1' ❑ > 1' i: > 1'

Date: 1 ' 12002 inspection Team: Name: L Agency: _ r F Name: Agency:

NYC-WTC 000092768