Asbestos disposal documentation form, 104 Reade Street

NYC 9/11 Public Portal Document

• I WTC Visual Survey Form • 10015-76 Premise Address: Io4.. R s -T, Block: Residential Commercial Name of Building: Lot: ço3 Mix Use ❑ Other ❑ # of Stories: 5 AKA's: Building Owner/Management: Telephone Number: ( Name: \ v. n . FAX: ( ) Address: On Site Contact: Name: Telephone Number: (212) 4od S' Building Owner Manage 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 DYes

Visual Inspection Kesuits: Facade: Inspected Debris North N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer ❑%to l" 0>1" South EJ N/A Yes ❑ No No Visible/Finer Layer ❑ / to l" 0>1" East N/A [2 Yes ❑ No ❑ No Visible/Fine Layer ❑/tol" 0>1" West J J N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer ❑Y2to 1" 0>1" Facade Description:

Roof

Debris: ❑ No Visible /Fine Layer to 1" '/2 [2 >1" Description: tnr A-4 t - - - -4-- 2. _

r~n c 9cd Setbacks N/A Floor: Debris: ❑ No Visible/Fine Layer ❑ % to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer ❑ Y2 to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer ❑ Y2 to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer 0'/2 to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer ❑ % to 1" ❑ > 1"

I Comments

Date: / /2002 Inspection Team: Name: D th _ Agency: pEP Name: Agency: N TH

NYC-WTC 000114575