Asbestos inspection form, WTC site, Oct 2001

NYC 9/11 Public Portal Document

WTC V1sua1' Surve Forme .

Promise Address: (.Dt 1w AM c Block: ResidentialD CommercIal1 Name of Building:

1 Lot: 3 Mix Use . Other " — # of Stories: AKA's: .. Building OwnerlIIanage91ent Telephone Number: I ) 2 t — CO Name• L2 FAX: Address: On Site Contact» Name: Ut) A.S-r Telephone Number. ' jOOt 0 U1- Building Owner Management Activities Interior Survey Performed ❑ Yes 0 No Exterior Survey Performed ❑ Yes 0 No General Clean Up 0 Yes 0 No Locations: ACM Clean Up 0 Yes 0 No Locations: Air Monitoring ❑ Yes 0 No Locations: Copies of All Reports and Date Requested DYes

Visual Inspection Results: Facade: Inspected Debris North ❑ N/A ❑YesDNo ❑ No Visible/Fine Layer '% to1" ❑>1" South ❑ N/A 0 Yes 0 N ❑ No Visible/Fine Layer %to 1" 0>1" East 0 N/A ❑YesDNo ❑ No Visible/Fine Layer %to t" 0>1" West 0 N/A ❑YesDNo ❑ No Visible/Fine Layer % to 1" 0>1* _._''_1 -

Roof

Debris: 0 No Visible /Fine Layer 0 1/ 2 to 1" ❑ > 1" Description:

Setbacks N/A 0 Floor. Debris: 0 No Visible/Fine Layer 'h to 1" 0> 1" Floor. Debris: 0 No Visible/Fine Layer % to 1" ❑ > 1" Floor Debris: 0 No Visible/Fine Layer % to 1" ❑ > 1" Floor. Debris: 0 No Visible/Fine Layer 'h to 1" ❑ > 1" Floor. Debris: 0 No Visible/Fine Layer 'h to 1" ❑ > 1" Comments

Date: ld'f /2002 Inspection by: Name: J)Pc • Agency: r

Name: Agency:

NYC-WTC 000110888