Asbestos inspection form, 109 Reade Street, Oct 2001

NYC 9/11 Public Portal Document

WTC Visual Survey Form Premise Address: JOT d- -ee Bloc-c: Residential 0 Commercial J Name of Building: Lot: Mix UseD Other # of Stories: AKA's: Buiiding 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

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Facade: Inspected Debris ❑ N/A Yes ❑ No North South East ❑ N/A ❑ N/A D Yes ❑ No ❑ Yes ❑ No ❑ No Visible/Fine Layer ❑ No Visible/Fine Layer ❑ No Visible/Fine Layer ®%a to 1" ❑ % to l" ❑'/to1" 0>1" 0>1" 0>1" West ❑ N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer ❑ % to l" 0>1" Facade Description:

Roof

Debris: ❑ No Visible /Fine Layer J J Va to 1" ❑ > 1" Description: t1c aw c Z- ad 4F /o Two s'pofs Cc.JS mete.,.;- o bser y m-ti ,r~Q.✓ -

Setbacks N/A Floor: Debris: ❑ No Visible/Fine Layer ❑ Va to 1' ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer ❑ % to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer ❑ Va to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer ❑ Va to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer ❑ %a to 1' ❑ > 1"

Comments

Date: 5i / F2002 Inspection Team: Name: /k7 Agency: -wp. Name: Agency: NTEREO

NYC-WTC-000114671