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← Document results/DEP Box 40/41 WARREN ST 1001443, 133/26 41 WARREN STREET 1001443, 133/26
Document / 2 pages

WTC environmental inspection form, 41 Warren Street

Machine-extracted title · confidence 100%

Inspection form for 41 Warren Street requesting data on ACM presence, air monitoring, and facade debris.

NYC-WTC_000113361–000113362

Folder label: “41 WARREN ST 1001443, 133/26 41 WARREN STREET 1001443, 133/26”

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Scanned page image, NYC-WTC_000113361
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NYC 9/11 Public Portal Document

WTC Visual Survey Form Premise Addr ~~ '~ S i .

Block: `—Residential IJ Commercial ❑ Name of Building: Lot: Mix Use ❑ Other ❑ # of Stories: AKA's: Building Owner/Management Telephone Number. ( ) Name: L \'v LLC 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 El Yes ❑ No El No Visible/Fine Layer ❑ 1/2 to 1" South ❑ N/A ❑ Yes [~No ❑ No Visible/Fine Layer ❑'/2 to 1"

East ❑ N/A ❑ Yes QjIo ❑ No Visible/Fine Layer ❑ '/2 to 1"

•West ❑ N/A ❑ Yes No ❑ No Visible/Fine Layer ❑'/z to 1" Facade Description:

Roof

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

Setbacks n/A Floor: Debris: ❑ No Visible/Fine Layer ❑ % to 1" [1> 1" Floor: Debris: ❑ No Visible/Fine Layer ❑ Y2 to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer ❑ '/2 to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer ❑ % to 1" ❑> 1" Floor: Debris: ❑ No Visible/Fine Layer ❑ 1/ 2 to 1" 0>1"

Date: 1 //2002 Inspection Team: Name N rho vvl Agency: Name: a Agency:

NYC-WTC- 000113361

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NYC-WTC_000113361Source: NYC Law Department, mirrored locally

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