Asbestos disposal and documentation form, undated

NYC 9/11 Public Portal Document

WTC Visual Survey Form Premise Address: 53 v' A~REComm1_.rci Name of Building: Block: t233 Residential U Lot: I Mix Use ❑ Other ❑ # of Stories: AKA's: Building~wn r M na a Telephone Number. ( j . )q64 - 0 Name: -r entRrCoC n FAX:( ) Address: On Site Conta . - y. Name: Telephone Number: ( ) Building Owner Management Activiti s Interior Survey Performed ❑ Yes ~No Exterior Survey Perfo ed El Yes [v "No I General Clean Up EYes ❑ No Locations: -k rVcr kik cu (HP r ay\c ACM Clean Up El Yes No Locations: Air Monitoring ❑ Yes No Locations: Copies of All Reports and Data Requested ❑ Yes

Visual Inspection Results: Facade: In pected D ris North ❑ N/A QYes ❑ No No Visible/Fine Layer ❑'/ to 1" ❑ > 1" South ❑ N/A Wtes ❑ No [ to Visible/Fine Layer ❑ 1/2 to 1" ❑ > 1" East ❑ N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer ❑'/z to 1" ❑ > 1" West ❑ N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer ❑ % to 1" 0>1"

Roof

Debris: [ lo Visible /Fine Layer '/Z to 1" > 1" Description• I Y' r .a. .Qt;~cS Q r 0 an r -),j -1 rmP t R I~p.~ - C~ n

I Setbacks N/A E Debris: ❑ No Visible/Fine Layer ❑'/z to 1" ❑ > 1" Floor: Floor: Debris: ❑ No Visible/Fine Layer ❑ % to 1" ❑ > 1" Floor: Debris: El No Visible/Fine Layer ❑'h to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer ❑ 1/2 to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer ❑ % to 1" n>1"

Date: I /2002 Inspection Team: Name: o r\- T(\ 4 1~ ri Ck Agency: _~~ ---- Name: t~~ \ Agency:

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NYC-WTC- 000113271