Fax transmission log, NYC DEP asbestos/lead project, September 2002

NYC 9/11 Public Portal Document w W'I'C Visual SUfY® FOI't11 Ia ~ i oZ tO Premise Address: . I(01 t C✓~ 1 Block ResidentialD Commercialp Name of Building: Lot: Mix Use . Other # of Stories: AKA's: Building Owner!Managemeit Telephone Number ~Ia) yyI Name: t~1• O'\ FAXP Address On Site C ntact: 111) Et g . PAf nq ô 0) O Name: Telephone Number. Building Owner Management Activities Interior Survey Performed Q Yes ❑ No Exterior Survey Performed ❑ Yes ❑ No General Clean Up ACM Clean Up aYes ❑ No Locations: ❑ Yes ❑ No Locations: Air Monitoring ❑ Yes ❑ No Locations: Copies of All Reports and Data Requested D Yes Visual Inspection Results: Facade: Inspected Debris North N/A Q Yes Q No ❑ No Visible/Fine Layer ❑'/atol" 0>1" South N/A ❑ Yes ❑•No ❑ No Visible/Fine Layer " East N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer ❑4to1" ❑>1"" West N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer ❑%:to 1" 0>1" Facade Description:

Roof

Debris: Q No Visible /Fine Layer [Y2 to 1" ❑ > 1" Description-

Setbacks N/A ❑ Floor j . Debris: Q No Visible/Fine Layer ®h to 1" 0>1" Floor: Debris: [] No Visible/Fine Layer f J h to 1" ❑ > 1" Floor. al Debris: ❑ No Visible/Fine Layer 34t0 1" 0>1" Floor. Debris: ❑ No Visible/Fine Layer ❑'i4 to 1" ❑ > 1" Floor Debris: ❑ No Visible/Fine Layer ❑ % to 1" 0>1" Comments

Date: Inspection by: Name: 1) A Agency: ______ Name: Agency: EN TERE3

NYC-WTC 000110898