Asbestos inspection form, 83 Warren Street

NYC 9/11 Public Portal Document

WTC Visual Survey Form T Premise Address: - t

Block: Residential •l Commercial El Name of Building: Lot: Mix Use [D Other ❑ # of Stories: — AKA's: Building Owne'rlManagement: Telephone Number: ( ) Name: FAX: ( ) Address: On Site Contact: y 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 El Yes ❑ No Locations: Air Monitoring ❑ Yes ❑ No Locations: Copies of All Reports and Data Requested ❑ Yes

Visual Inspection Results: Facade: Inspected De ris '-' C.4N A es ❑ No N Visible/Fine Layer ❑ Y2 to 1" >1 South A Wes ❑ No [ 6 Visible/Fine Layer ❑'/ to 1" ❑ > 1" East A ❑ Yes ❑ No ❑ No Visible/Fine Layer ❑ Y2 to 1" ❑ > 1" NorthI West NA ❑ Yes ❑ No ❑ No Visible/Fine Layer ❑ % to 1" ❑ > 1"

Roof

Debris: to Visible /Fine 1" ❑ > 1` Description: 1rSP_C c - \

Setbacks N/A ❑ Floor: Debris: ❑ No Visible/Fine Layer ❑'/2 to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer ❑ 1/ 2 to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer El 1/2 to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer ❑'/2 to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer ❑ Y2 to 1" ❑ > 1"

Comments

Date: \//2002 Inspection Team: Name: C~ U---rCrl Agency: L Name: ' N ` — L Agency:

NYC-WTC- 000112862