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WTC building inspection form, 300 Albany St

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Form recording facade and interior inspections for asbestos and air monitoring at a residential or commercial building.

NYC-WTC_000116387–000116390

Folder label: “300 ALBANY ST 1000436, 16/7504

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NYC 9/11 Public Portal Document

WTC Visual Survav Form I/ Premise Address: 73U Block: Residential merciai D Name of Building: Lot: Mix Use Other # of Stories: AKA's: Building Owr~er/M nagement: Telephone Number. (2i2 I Name: K ~ FAX: Address: On Site Contact: Name: Telephone Number: Building Owner Manage ent Activities Interior Survey Performed [ayes ❑ No Exterior Survey Perfo ed ~'es ❑ No General Clean Up JY Yes ❑ 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 [Z Yes ❑ No ❑ No Visible/Fine Layer ❑ %a to l" 0>1" South ❑ N/A ( "Yes ❑ No ❑ No Visible/Fine Layer ❑'/ to 1" ❑ > 1" East ❑ N/A f Yes ❑ No ❑ No Visible/Fine Layer ❑ % to 1" ❑ > 1" West ❑ N/A f3Yes 0 No ❑ No Visible/Fine Layer ❑ Va to 1" ❑ > 1" Facade Description: 'l C2 Roof v Debris: No Visible /Fine yer ❑ Ya to 1" 1-~"'' ❑ > 1" 1 Description:

Setbacks Floor. ____ Debris: ❑ No Visible/Fine Layer ❑'/ to 1" ❑ > 1" Floor. Debris: 0 No Visible/Fine Layer 0 Va to 1" [3> 1" Floor. Debris: ❑ No Visible/Fine Layer ❑ %a to 1" [3 >10 Floor. Debris: ❑ No Visible/Fine Layer ❑ %a to 1" ❑ > 1" Floor. Debris: ❑ No Visible/Fine Layer ❑ % to 1 " ❑ > 1" Comments

Date: /25 /2002 Inspection Team: Name: ;Z Agency: Name: Agency: JY

NYC-WTC-000116389

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NYC-WTC_000116389Source: NYC Law Department, mirrored locally

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