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← Document results/DEP Box 39/57 WORTH STREET; Block: 176, Lot: 1, BIN: 1001957 AKA: 230-234 Church Street
Document / 3 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_000111038–000111040

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_000111038
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NYC 9/11 Public Portal Document

WTC Visual Survey Form Premise Address: z1r /GUI y7U Block: Residential p Commercial Name of Building: Lot MixUsefl Other S of Stories: Building Owner AKA's: agement L. - Telephone Number: ( ) -r

Name: N 1 S FAX: Address: On Site Contact Name: ' -C f\ r Telephone Number: Building Owner Management Activks Interior Survey Performed ❑ Yes o Exterior Survey Performed Q Yes 0 No General Clean Up ❑Yes No Locations: ACM Clean Up Yes No Locations: Air Monitoring Yes Q No Locations: Copies of All Report. and Data Requested fl Yes Visual Inspection Results: Facade: Inspected Debris North N/A DYes Q No No Visible/Fine Layer 34 to? >1' South N/A Yes Q No No Visible/Fine Layer 34 to 1' > 1' East N/A Yes Q No No Visible/Fine Layer 34 to 1' > 1' West N/A Yes Q No No Visible/Fine Layer ❑ 34 to 1' H3.1 9 Facade Description: 1) n _ A

Roof Debris: No Visible /Fine Layer -Q V& to 1' 0>1. Description:

Setbacks N/A'E[ Floor: Debris: No Visible/Fine Layer 34 to 1' >1' Floor____ Debris: No Visible/Fine Layer % to 1' > 1' Floor____ Debris: No Visible/Fine Layer 4 to T, >V Floor____ Debris: No Visible/Fine Layer % to 1' > 1' Floor.___ Debris: No Visible/Fine Layer % to 1' > 1' Commente~'2

Date: Inspection Team: Name: Agency: Name: Agency:

NYC-WTC-000111038

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NYC-WTC_000111038Source: NYC Law Department, mirrored locally

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