Asbestos inspection form, 124 Nassau Street

NYC 9/11 Public Portal Document

WTC Visual Survey Form 1~N 100121 7 Premise Address: n assau ~-~ ree+- 014 -L- Block: Residential , ~ J Commercial Name of Building: Lot: 2 q Mix Use 0 Other 0 # 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 ❑ No Visible/Fine Layer 0 %/4to 1 " 0 > 1" South ❑ N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer 0 1/2 t01" 0>1" East ❑ N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer ❑/tol " 0>1 " West ❑ N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer ❑Y2to1" 0>1" Facade Description:

Debris: Qo Vi ible ine Layer )'/ to 1" > 1" Description: I&oo4 tat.

Setbacks N/A ❑ Floor: Debris: ❑ No Visible/Fine Layer ❑ 1 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" 0> 1" I Comments

Date: c2 / I q /2002 Inspection by: Name: CL Agency: ICE P Name: Agency: 41

NYC-WTC 000098754