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← Document results/DEP Box 39/57 WORTH STREET; Block: 176, Lot: 1, BIN: 1001957 AKA: 230-234 Church Street
Document / 5 pages

Asbestos inspection form, 57 Worth Street, Oct 2001

Machine-extracted title · confidence 90%

DEP facade inspection record for 57 Worth Street documenting ACM and air monitoring results.

NYC-WTC_000111033–000111037

Folder label: “57 WORTH STREET; Block: 176, Lot: 1, BIN: 1001957 AKA: 230-234 Church Street”

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Scanned page image, NYC-WTC_000111033
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OCR status: ok · source: pdftotext

NYC 9/11 Public Portal Document

WTC Visual Survey Form / .4,' i

Premise Address:

Block: Residential p Commercial Name of Building: Lot: I MixUseD OtherlJ # of Stories: AKA's: Building Owner a gement: Telephone Number: ( ) Name: N• S FAX: Address: On Site Contact Name: " Telephone Number: Building Owner Management Activities Interior Survey Performed 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 RequestedIJ Yes

Visual Inspection Results: Facade: Inspected Debris North N/A Yes No No Visible/Fine Layer 34 to 1' >1. South N/A Yes No No Visible/Fine Layer 3.4 to 1' > 1' East N/A Yes No No Visible/Fine Layer 3.4 to 1' > 1' West N/A HyesoNo, No Visible/Fine Layer 34 to 1' ❑ > 1' Facade Description:

Roof Debris: No Visible /Fine Layer .fl 3.4 to 1' J > 1' Description:

aks N/A' Floor___ Debris: No Visible/Fine Layer % to 1' > 1' Floor____ Debris: No Visible/Fine Layer % to 1' > 1' Floor.____ Debris: No Visible/Fine Layer % to 1' > 1' Floor Debris: No Visible/Fine Layer % to 1' > 1' Floor____ Debris: No Visible/Fine Layer % to 1' > 1'

Di .: cii;1 oO2 Inspection Team: Name: — '.- Agency: Name: Agency:

V. NYC-WTC-000111033

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NYC-WTC_000111033Source: NYC Law Department, mirrored locally

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