Asbestos inspection form for 33 Park Row, undated

NYC 9/11 Public Portal Document

WTC Visual Survey Form Premise Address (~

Block: Residential D Commercia Name of Building: Lot Mix Use Other # of Stories: AKA's: Building Owner/Management Telephone Number: ( ) Name: 0 FAX: Address: On Site Contact • Name: ' • 1"I o—t. Telephone Number. Building Owner Management Activities Interior Survey Performed ❑ Yes ❑ No Exterior Survey Performed ❑ Yes ❑ No Q '' 4s * • , General Clean Up ❑ Yes ❑ No Locations: ACM Clean Up ❑ Yes ❑ No Locations. Air Monitoring ❑ Yes ❑ No Locations: Copies of All Reports and Data Requested I j Yes

Visual Inscection Results: Facade: Inspected Debris North 0 N/A ❑ Yes ❑ No ❑ No VisiblefFine Layer ❑ 34 to 1" 0>1" South ❑ N/A ❑ Yes ❑ No No V8ible/Fine Layer ❑ /2 to 1" 0>1" East ❑ N/A Yes ❑ No D] No Visible/Fine Layer ❑ Y to 1" ❑ > 1" West ❑ N/A HYesoNo ❑ No Vslble/Fine Layer ❑ % to 1" 0>1" Facade Description:

Roof

Debris: Visible /Fine Layer .934 to 1" 0>1" Description:

Setbacks N/AL] Floor.____ Debris: ❑ No Visible/Fine Layer ❑ 34 to 1" 0>1" Floor. Debris: ❑ No Visible/Fine Layer ❑ 36 to 1" 0>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 3.4 to 1" 0>1"

Comments

Date: Inspection Team: Name: (/N - ` Agency: Name: _Agency: ENTERED

NYC-WTC-000115633