Asbestos inspection form, 124 Nassau Street

NYC 9/11 Public Portal Document V4 i C u isual Survey corm R ;N . Premise Address: I24 t ASSAU ~-rr r Block: s)a Residential 0 Commercial J Name of Building: Lot: , Mix UseD Other A ,~. N;- # of Stories: 4 AKA's: Building Owner/Management: Telephone Number: ( ) Name: FAX: ( Address: On Site Contact: SEAN C QeST. r a 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 ❑'/% to 1" ❑> 1 South N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer ❑%to i" 0>1" East N/A Yes ❑ No ❑ No Visible/Fine Layer % to 1" 0>1" West ❑ N/A Yes Q No ❑ No Visible/Fine Layer to 1" 0>1" Facade Description: Vrt=BRIS 'FOUND 'Oh1 ALL. wl1~1DOt;_ tDFx~S

Roof

Debris: ❑ No Visible /Fine Layer / to 1" 0>10 Description:

Setbacks N/A ❑ Floor. 2t' Debris: ❑ No Visible/Fine Layer % to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer Y to 1" ❑ > 1" Floor: Debris: Q No Visible/Fine Layer ❑'A to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer ❑ % to 1" ❑ > 1" Floor: Debris: 0 No Visible/Fine Layer ❑'A to 1" ❑ > 1"

Comments BACIy y Ag CA E ) Bit FrXM l35MT) N AS Deral?—tS .f

Date: C' / It /2002 Inspection Team: Name: 'DA / A02-t' Agency: NY(' ti4- 1 Name: Agency:

NYC-WTC 000098756