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WTC Site Data Form for Building Inspection

Machine-extracted title · confidence 85%

Data collection form recording building details and inspection results regarding ACM presence at a WTC vicinity site.

NYC-WTC_000108285–000108289

Folder label: “120 LIBERTY STREET; 1001040, 52/21

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NYC 9/11 Public Portal Document

Asbestos Inspection Report Page 1 of _t Premise # Date of Inspection 125 Cedar Street March 02, 2002 Floor Zip Block Lot # Boro Code All Block 1 Inspector Badge # Squad # Basis of Inspection Building Type Pictures Carl Lutchmedial A058001 I B No Contractors Name Sample # na Na Address Sample # na na

City State Zip Sample # na

Laboratory Name Building Owner na Sirkin Realty Address Address 403 east 62"d street City State Zip City State Zip NY NY 10021 Contact Person At Site Time of Inspection 3`d & 5th Floor tenants 9 am — 11 am 5th On arrival Inspection disclosed that tenants from the 3 floor (Ms Pat Moore —718-852-6716) and floor (Ms Eliza-718-858-7755) were cleaning their apartments. The apartments were heavily contaminated with WTC debris. I observed that they were not wearing masks. They said they have mask, but were not wear them at this time. I asked them if any sampling was done to determine the presence of ACM and they said no. Ms Eliza had been present at a meeting I had with the tenants and their attorney, the landlord, and an asbestos investigator sometime ago. At that meeting they had agreed that more sampling would be done to determine the presence of ACM. However, Ms Eliza said that they had decided that they would forego the sampling and clean their apartments on their own. When it is cleaned to their satisfaction, the owner Samson Management would do a re-occupancy testing. At this time they requested that DEP don't do any testing.

NOV # ResultCode 5

NOV # Supervisor Innitial

Boro Code 1 = Manhattan 2 = Bronx 3 = Brooklyn 4 = Queens 5 = Staten Island Bldg. Type A> 6 Stories B < 6 Stories C - Single Family D - School E - Hospital F — Public Owned Property Result Codes 1= Violation Issued 2 = No Violations Issued 3 = No Access 4 = Project 1" Started 5 = Project Completed

NYC-WTC 000108289

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NYC-WTC_000108289Source: NYC Law Department, mirrored locally

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