Asbestos inspection form, 80 Maiden Lane, Oct 2001

NYC 9/11 Public Portal Document

BM* lO01015 ?4A fV Visual Survey Form Premise Address:

Block: 2. 42. Reside o t) Maiden Lane- Commercial JJ Name of Building: Lot 3 3b 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 ❑ YesD No Locations: Copies of All Reports and Data Requested p Yes

Visual Inspection Results: Facade: Inspected Debris North [] N/A ❑ YesQNo ❑ No Visible/Fine Layer '/toll 0>1" South ❑ N/A ❑ YesQNo ❑ No Visible/Fine Layer '/toll ❑>1" East ❑ N/A ❑ YesQNo ❑ No Visible/Fine Layer ftX4to1" 0>? West ❑N/A OYesQNo O No Visible/Fine Layer LJ%to? 0'? Facade Description:

Roof Debris: Visible /Fine Layer [] % to V 0>? Description:

Setbacks N/A ❑ Floor: Debris: 0 No Visible/Fine Layer 0 % to 1' 031.1a Floor. Debris: ❑ No Visible/Fine Layer [] 4 to V 0> 1' Floor Debris: ❑ No Visible/Fine Layer ❑ % to 1 ❑ > 1' Floor____ Debris: ❑ No Visible/Fine Layer L] Y to 1' 0>? Floor: Debris: 0 No Visible/Fine Layer 9] h to 1" 9> 1' Comments

Date: 07 /11002 Inspection by: Name: _PP Agency: i P Name: Agency:

NYC-WTC 000102384