Asbestos inspection form, 80 Maiden Lane, Oct 2001

NYC 9/11 Public Portal Document

$t,&1001015 WTC Visual Survey Form 10010 l(o Premise Address: fiat 30-90 Maiden Lane_ Block: 42. 42. Residential 0 Commercial JJ Name of Building: Lot: 310 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 0 No Locations: Copies of All Reports and Data Requested J Yes

Visual inspection Results: Facade: Inspected Debris

t North ❑ N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer to1" ❑>1" South ❑ N/A ❑ YesD No ❑ No Visible/Fine Layer to 1" 0>1" East ❑ N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer lL 6 to 1" 0>1" West ❑ N/A [] Yes O No ❑ No Visible/Fine Layer to 1" 0>1" Facade Description:

Roof

Debris: o Visible /Fine Layer 0 % to 1" ❑ > 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" 0>1" Floor Debris: ❑ No Visible/Fine Layer ❑ Ya to 1" ❑ > 1" Floor Debris: ❑ No Visible/Fine Layer ❑ Va to 1" 0>1" Comments

Date: O) / / 12002 Inspection by: Name: _ AP Agency: DEP Name: Agency:

NYC-WTC 000102378