Asbestos fiber analysis report, ATC Associates, July 2002

NYC 9/11 Public Portal Document

WTC Visual Survey Form Cl~) Premise Address: 3o wF - c -F~--~~ Block: Residential D Commercial Name of Building: Lot: Mix Use Other g— # of Stories: AKA's: Building Owner/Management: Telephone Number. ( ) Name: M'(C U FAX: Address: On Site Contact: Name: • ' Telephone Number. Building Owner Management Activities Interior Survey Performed 0 Yes ❑ No Exterior Survey Performed ❑ Yes ❑ No General Clean Up ❑ Yes ❑ No Locations: ACM Clean Up ❑ Yes ❑ No Locations: Air Monitoring ❑ Yes ❑ No Locations: Copies of All Reports and Data Requested Yes

visual inspection Results: Facade: Inspected Debris North ❑ N/A ❑Yes ❑ No ❑ No Visible/Fine Layer ❑ 4 to 1' 0>1' South ❑ N/A ❑Yes ❑ No ❑ No Visible/Fine Layer ❑%to 1" 0>1' East ❑ N/A ❑Yes ❑ No ❑ No Visible/Fine Layer ❑ %to 1' 0>10 West ❑ N/A ❑Yes ❑ No ❑ No Visible/Fine Layer ❑ 2 to 1' 0>10 Facade Description:

Roof N Debris: ❑ No Visible /Fine yer ❑'h to 104 t 0>1. Description:

Setbacks N/A ❑ Floor. Debris: ❑ No Visible/Fine Layer ❑ 34 to 1' ❑ > 1' Floor. Debris: ❑ No Visible/Fine Layer ❑ % to V ❑ > 1' Floor. Debris: ❑ No Visible/Fine Layer ❑ i4 to 1' ❑ > 1' Floor. Debris: ❑ No Visible/Fine Layer ❑'h to 1' ❑ > 1' Floor. Debris: ❑ No Visible/Fine Layer ❑ 34 to 1' 0>1' Comments i s r _ r pr Ct'~.,, 6a%cQ

Date: T?s 12002 Inspection Team: Name: ~~ Agency: Name: Agency:

NYC-WTC 000109971