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

NYC 9/11 Public Portal Document

WTC Visual Survey Form Premise Address: q rc'i ( M( Block: Residential IJ Commercial ❑ N e of Building: Lot: Mix Use ❑ Other ❑ # 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" South ❑ N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer ❑ to 1" Y2 ❑ > 1" East ❑ N/A ❑ Yes ❑ No ❑ No VisiblelFine Layer ❑'/ to 1" ❑ > 1" West ❑ N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer ❑ 1/ to 1" 0>1" Facade Description:

Roof

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

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

Comments ' / / 7

Date: I / ~Z S /2002 Inspection Team: Name: Name: • •- ~►~i►ZrI

NYC-WTC 000112950