Asbestos control emergency response diagram, unknown date

NYC 9/11 Public Portal Document

2O `''b`' WTC Visual Survey Form &' loo

1 o L(O Premise Addres (j Block: ç2.. Residentia Commercial D Name of Building: Lot: Mix Use Other # of Stories: AKA's: — — Building Owner anagement. elep o e Number: ( ) Name: " FAX: ( Address: On Site Contact: Name: ' Telephone Number: ( ) Building Owner Management Activities Interior Survey Performed 4 Yes ❑ No Exterior Survey Performed BYes ❑ No General Clean Up ayes ❑ No Locations: "{' ACM Clean Up ❑ Yes allo Locations: Air Monitoring ❑ Yes No J Locations: Copies of All Reports and Data Requested Q Yes

Visual Inspection Results: Facade: A Inspected Debris North /A BYes ❑ No ❑ No Visible/Fine Layer J % to 1" ❑ > 1" South N/A Yes ❑ No ❑ No Visible/Fine Layer '/Z to 1" ❑ > 1" East -SN/A ❑ Yes ❑ No ❑ No Visible/Fine Layer ❑ % to 1" ❑ > I" West ❑ N/A MYes ❑ No ❑ No Visible/Fine Layer 1 to 1" E]> 1" Facade Description:

Roof

Debris: ❑ No Visible /Fine Layer ❑ Y to 1" Description:

Setbacks N/A ❑ '-' LI v Floor: Debris: ❑ No Visible/Fine Layer ❑ % to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer ❑ Va to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer ❑ Y2 to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer ❑ % to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer ❑'/:to 1" ❑ > 1"

Comments

Date: \_/ Inspection Team: Name: Agency: Name: Agency:

NYC-WTC 000107856