Asbestos inspection report, 25 Ann Street, 2002

NYC 9/11 Public Portal Document

WTC Visual Survey Form Premise Address: i' Is - .

Block: Residential Commercial Name of Building: Lot: Mix Use 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 ebris North ❑ N/A ❑ Yes D No EJ No Visible/Fine Layer ❑Yto1" 0>1" South ❑ N/A ❑ Yes ❑ No EIJ No Visible/Fine Layer ❑ 1/2 to 1" 0>1" East ❑ N/A ❑ Yes O No LII No Visible/Fine Layer E]'/ to 1" 0>1" West ❑ N/A ❑ Yes ❑ No No Visible/Fine Layer ❑ 1/to1" 0>1" Facade Description:

Roof

Debris: o V ibl /Fine / 0„1 ❑ 1 Description: t Inso ~r raew 11

Setbacks N/A ❑ Floor: Debris: ❑ No Visible/Fine Layer ❑ % to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer ❑ %2 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 ❑ %2 to 1" ❑ > 1"

Comments

Date: / /2002 Inspection by: Name: C Agency: Name: Agency:

NYC-WTC 000099055