Asbestos inspection form, 59 St James Place

NYC 9/11 Public Portal Document

• G~ WTC Visual Survey Form Prcmis, Address: / pt__ Block: Residential Comme ial J Name of Building: Lot: I, Mix Use Other # of Stories: AKA's: Buildin OwpejIMprjamqpt 2 Telephone Number Name: 0 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

Visual Inspection Results: Facade: Inspected Debris North ❑ N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer ❑ Ya to 1" 0>1" South ❑ N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer ❑ Ya to 1" 0>1" East ❑ N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer ❑ Ya to 1" []>? West ❑ N/A ❑ Yes ❑ No No Visible/Fine Layer ❑ 34 to 1" ❑ > 1" Facade Description:

Roof LN Y4 Debris: Visible /Fine yer ❑ Y to 1" 1~""' ❑ > 1" ` Description:

Setbacks N/A t Floor. Debris: ❑ No Visible/Fine Layer 034 to 1" ❑ > 1" Floor. Debris: 0 No Visible/Fine Layer ❑ a to 1" ❑ > 1" Floor. Debris: ❑ No Visible/Fine Layer ❑ % to 1" ❑ > 1" Floor. Debris: [] No Visible/Fine Layer ❑ h to 1" ❑ > 1" Floor. Debris: ❑ No Visible/Fine Layer ❑ % to 1" ❑ > 1"

Comments

Date: inspection Team: Name: Agency: Name: Agency: gNTER S

NYC-WTC 000116979