Asbestos inspection report form, 92-94 Warren Street, 2002

NYC 9/11 Public Portal Document I 1c7/é3 V1 WTC Visual Survey Form Premise Address: i r sL- r4 ~ Block: Residential 0 Commercial J J Na e o Building: Lot: Mix Use ❑ Other ~o~e °- X # of Stories: AKA's: Building Owner/Management: Telephone Number: ( ) Name: 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 Requested Yes

Visual Inspection Results: Facade: Inspected Debris North ❑ N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer /2 to 1" ❑ > 1"- F South ❑ N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer '/2 to 1" ❑ > 1" East ❑ N/A ❑ Yes No J Jo Visible/Fine Layer ❑'/2 to 1" ❑ > 1" West ❑ N/A Dyes ❑ No — Visible/Fine Layer ❑'/ to 1" ❑ > 1" Facade Description:

Roof

Debris: ❑ No Visible /Fine Layer 0'/2 to 1" ' J - 12'> 1" - Description:

Setbacks N/A ❑ Floor: Debris: ❑ No Visible/Fine Layer ❑ % to 1" Floor: Debris: ❑ No Visible/Fine Layer 0 V to 1" Floor: Debris: ❑ No Visible/Fine Layer ❑'/ to 1" Floor: Debris: ❑ No Visible/Fine Layer ❑'/ to 1" loor: Debris: ❑ No Visible/Fine Layer ❑ Y to 1"

Comme' 1A

Date: c/ /2002 Inspection Team: Name: L Agency: Name: Agency:

a NYC-WTC- 000112949