Asbestos inspection form, 54 Pine Street, Oct 2001

NYC 9/11 Public Portal Document

WTC Visual Survey Form 1 OO O 1 v I' Premise Address: ~4 P/'v & ~E r Block: 14 I Residential Commercial Name of Building: Lot: 7 O IMixUseE] Other 1 2 t # of Stories: , AKA's: Building Owner/Management: TFT KLP Telephone Number: (2_/a.) '73r- Qc c Name: c ice+ FAX: ( ) Address: 49 5 4..L On Site Contact: Name: znt k jroj Telephone Number: (~/7 ) Building Owner Management Activities Interior Survey Performed ❑ Yes ❑ No Exterior Survey Performed ❑ Yes ❑ No General Clean Up 1Yes ❑ 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 Yes ❑ No [2 No Visible/F~ne t aly r ❑ Y2 to 1" ❑ > 1" South ❑ N/A ]Yes ❑ No ineayer ❑ Y2 to 1" [ 'No Visible/F -t ❑ > 1" East [~ N/A ❑ Yes ❑ No Visible/Fine Layer El % to 1" ❑ > 1" West J N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer ❑ % to 1" ❑ > 1" Facade Description:

Roof

Debris: ] No Visible /Fe-Layer ❑ %2 to 1" ❑ > 1" Description:

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

Comments j~a - ti- e/e4 -(-- jtteQ4 (erg 0.' IaY2e yi WS Or) 2// 6 /0

Date: &//2002 Inspection Team: Name: ______________________Agency: Name: S Agency:

NYC-WTC-000114857