Asbestos Inspection Form, 277 Water Street, Oct 2001

NYC 9/11 Public Portal Document

r .- WTC Visual Survey Form (ornise Address:

Block: ResidentialD Commercial J Name of Building: Lot Mix Use 0 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 Q No Exterior Survey Performed a Yes No a

General Clean Up ❑ Yes No Locations: ACM Clean Up ❑ Yes No Locations: Air Monitoring 0 Yes[] No Locations: Copies of All Reports and Data Requested J Yes

Visual Inspection Results: Facade: Inqpected Debris North E1Yes ❑ No o Visible/Fine Layer 914to1' 0>1' South Yes 9 No No Visible/Fine Layer % to 1' 0'? East ❑ N/A ❑ Yes No No VSible/Fine Layer h to 1' 0>? West ❑ N/A ❑ Yes Q No No Visible/Fine Layer ❑'/ato1' 0>1' Facade Description:

Roof Debris: dNo Visible /Fine Layer .914 to? 9> 1' Description:

Setbacks N/AD Floor Debris:D No Visible/Fine Layer ❑ 3.4 to 1' 9>1. Floor. Debris: No Visible/Fine Layer a

14 to 1' 'l' Floor. Debris: No Visible/Fine Layer 36 to 1' '1' Floor____ Debris: No Visible/Fine Layer % to 1' > 1' Floor Debris: No Visible/Fine Layer 14 to 1' Comments

Date: _/ 11002 Inspection Team: Name: Agency: Name: Agency: EN TER NYC-WTC 000109537