Asbestos inspection form, 83 Worth Street, Oct 2001

NYC 9/11 Public Portal Document

WTC Visual Survey Form I DID 1St -~~ Premise Address: n

Block: Residential Commercial 9 Name of Building: L q N D i~ Lot: a Mix Use Other # of Stories: AKA's: 3 - 95 Building Owner/Management: Telephone Number. ( ) Name: L_-rt- p.P . FAX: Address: "85 c.,Do -rte 1 On Site Contact: Name: - ' .. . Telephone Number: Building Owner Management Activities Interior Survey Performed 0 Yes ❑ No Exterior Survey Performed 0 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 j Yes

Visual Inspection Results: Facade: Inspected Deris North ❑ N/A [c es ❑ No No Visible/Fine Layer ❑ Y to 1" 0> " South ❑ N/A [des ❑ No [ to Visible/Fine Layer ❑'% to l" 0>1" East Q /A ❑ Yes ❑No ❑ No Visible/Fine Layer ❑Matol" 0>1" West [YN/A ❑Yes❑No ❑ No Visible/Fine Layer ❑Mato l" 0>10 Facade Description:

Roof

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

Setbacks N/A Q' Floor: Debris: ❑ No Visible/Fine Layer ❑'h to 1" ❑ > 1" Floor. Debris: ❑ No Visible/Fine Layer ❑ Y: to 1" ❑ > 1" Floor. Debris: ❑ No Visible/Fine Layer ❑ va to 1" ❑ > 1" Floor. Debris: ❑ No Visible/Fine Layer ❑ Ys to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer ❑ % to 1" ❑ > 1" [Ii•1iiTiiI3ii._

Date: / 11' /2002 Inspection Team: Name: (~tl~ Agency: 1)42 E N T E R Name: Agency: E

NYC-WTC 000111058