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Asbestos inspection report form, 42 New Street, 2002

Machine-extracted title · confidence 95%

Form for submitting an asbestos inspection report to the Department of Environmental Protection.

NYC-WTC_000098690

Folder label: “4442 NEW STREET 1000818, 24/19”

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Scanned page image, NYC-WTC_000098690
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NYC 9/11 Public Portal Document

WTC Visual Survey Form Premise Address: E w Sr" Block: Residential D Commercia Name of Building: Lot: Mix Use Other # of Stories: AKA's: ora ,~... Building ne Management: elephone Number: ( ) Name: war 4 FAX:( Address: On Site Cgr~tact: Name: Vr ' '' r~ ~`'~' Telephone Number: (At t) 9.2f.. /o Building Owner Manage ent 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 fl Yes

Visual Inspection Results: Facade: Inspected Debris North ❑ N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer 0'/2 to 1" South ❑ N/A s No ❑ No Visible/Fine Layer .~% to 1" East ❑ N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer ❑ % to 1" West ❑ N/A No ❑ No Visible/Fine Layer [ /2 to 1" Facade Description:

Roof ,,. Debris: ❑ No Visible /Fine Layer ❑'/to1" 1" Description:

Setbacks N/A ❑ Floor: Debris: ❑ No Visible/Fine Layer ❑ % to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer ❑ % to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer ❑ % to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer ❑ % to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer ❑ % to 1" ❑ > 1"

Comments

Date: -//2002 Inspection Team: Name: a Agency: Name: Agency: £ N T ER E3

NYC-WTC 000098690

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NYC-WTC_000098690Source: NYC Law Department, mirrored locally

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