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Asbestos inspection form, 86-90 Warren Street

Machine-extracted title · confidence 90%

Form recording facade inspection results for asbestos at 86-90 Warren Street.

NYC-WTC_000112910–000112911

Folder label: “86-90 WARREN STREET; 1085487, 137/10

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NYC 9/11 Public Portal Document

WTC Visual Survey Form Premise Address:

Block: Residential Commercial ❑ Name of Building: Lot: Mix Use ❑ Other ❑ # of Stories: (' AKA's: Building Owner/M age ent: Telephone Number: ( ) I$ Name: Y\G Co c) FAX: ( Address: k) - (OcY7- On Site Contact: J. Gt., Name: Telephone Number: (,) 12) 7 _ Building 0wne4 Management Activities Interior Survey Performed ❑ Yes ❑ No Exterior Survey Performed ❑ Yes ❑ No f General Cleanjr Up Y es ❑ No Locations: Gf~l Vl ~_('\c .u ç h i &5Q ACM Clean es ❑ No Locations: Air Monitoring ❑ Yes ❑ No Locations: Copies of All Reports and Data Requested ❑ Yes

Visual Inspection Results: Facade: Inspected Debris North N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer ❑ to 1" 1/ 2 [1> 1" South N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer ❑'/2 to 1" ❑ > 1" East [fl N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer ❑ Y2 to 1" ❑ > 1" West' [❑ N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer E]'/2 to 1" ❑ > 1" Facade Description:

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

Setbacks N/A [\ Floor: Debris: ❑ No Visible/Fine Layer El 1/z to 1" Floor: Debris: ❑ No Visible/Fine Layer ❑ '/2 to 1" Floor: Debris: ❑ No Visible/Fine Layer ❑ 1/ 2 to 1" Floor: Debris: ❑ No Visible/Fine Layer El 1,4 to 1" Floor: Debris: ❑ No Visible/Fine Layer ❑ 1/ 2 to 1"

Comments NAkr\-

Date: / 7i'? /2002 Inspection Team: Name: t v_ 1_, 1 J4 Agency: Name: G►\ ~& •t \~\ &_ Agency: _ z

NYC-WTC-000112910

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NYC-WTC_000112910Source: NYC Law Department, mirrored locally

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