Asbestos inspection form, 59 St James Place

NYC 9/11 Public Portal Document

WTC Visual Survey Form /1) ZJQ7/ K&miss Address: ^ Block: 2 Lot Residential IMixUseD Commercial er I Name of Building: 1/ # of Stories: AKA's: ( Building ner/Managem nt: Telephone Number ( ) Name: C FAX: Address: Cf i /ex 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 South East ❑ N/A ❑ N/A ❑ N/A ❑ Yes ❑ No Yes No Yes No ❑ No Visible/Fine Layer No Visible/Fine Layer g 'A to 1' No Visible/Fine Layer 034t01' 0>1' 0>1' West ❑ N/A Ye ❑ No No Visible/Fine Layer ❑ Y2 to 1' 0>1' Facade Description: (` () „ _

Roof Debris: l o Visible /Fine Layer .934 to 1' 9> 1' Description:

Setbacks N/A` 0>1' Floor: Floor____ Floor: 8 Debris: No Visible/Fine Layer Debris: No Visible/Fine Layer % to? 34 to V Debris: ❑ No Visible/Fine Layer ❑'4 to V 9>1' 0>1' Floor____ Floor: Debris: Q No Visible/Fine Layer ❑ 4 to 1' Debris: ❑ No Visible/Fine Layer ❑ % to V H> ❑ > 1" 1'

Comments

Date: I _R002 Inspection Team: Name: Agency: Name: Agency:

NYC-WTC 000116987