Asbestos inspection form, 50 Pine Street, Oct 2001

NYC 9/11 Public Portal Document

WTC Visual Survey Form Premise Address: • f~ ry p/iv6 STREET Block: I Residential 0 Commercial J Name of Building: Lot: 0 Mix Use ~j Other # of Stories: 12. AKA's: Building Owner/Management: co p/ivy Number: (2f 2) 6q-. --_ 17/7 Name: FAX: ( Address: e H- tsi ►ry 4 , On Site Contact: Name: ricd Telephone Number: ( 27 2 2t.-) g, 3 Building Owner Management Activities Interior Survey Performed ❑ Yes ❑ No Exterior Survey Performed ❑ Yes ❑ No General Clean Up BYes ❑ No Locations: ACM Clean Up ❑ Yes ❑ No Locations: Air Monitoring ❑ Yes ER No Locations: Copies of All Reports and Data Requested Yes

Visual Inspection Kesults: Facade: Inspected Debris North ❑ N/A ® Yes ❑ No No Visible/Fine Layer ❑ % to 1" ❑ > 1" South ❑ N/A OYes ❑ No ®No ViSible/Fine Layer ❑ % to l" 0>1" East SN/A ® Yes ❑ No ❑ No Visible/Fine Layer ❑ % to 1" ❑ > 1" West N/A [Yes ❑ No 0 No Visible/Fine Layer ❑ Ya to 1" ❑ > 1" Facade Description:

Roof

Debris: [ No Visible ❑ V to 1" 0>111 Description:

Setbacks N/A m 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 ❑ Va to 1" ❑ > 1" Floor. Debris: ❑ No Visible/Fine Layer ❑ V to l" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer ❑V2 to 1" ❑ > 1"

Comments / ~~ may►

Date: 2, /I7/2002 Inspection Team: Name: ... Agency: ~(P Name: Agency:

NYC-WTC-000114850