Asbestos inspection form, 107 South Street

NYC 9/11 Public Portal Document

ITC Visual Survey Form Premise Address: Block: Residential jJ Commercial Name of Building: Lot Mix Use9 Other S of Stories: AKA's: BuI1ding•,,Own anagement Telephone Number. ( Name: `~-~- Address: On Site Contact Name: ' Telephone Number. Building Owner Management Activities Interior Survey Performed ❑ Yes [j No Exterior Survey Performed j] Yes No General Clean Up Yes No Locations: ACM Clean Up Yes No Locations:_______________________________ ations: Air Monitoring D Yes No Locations: Copies of All Reports and Data Requested Yes Visual InsDection Results: Facade: Inspected Debris North N/A DYesDNo No Visible/Fine Layer t].4 to'!' n> 1' South N/A Yes No No Visible/Fine Layer '/ to 1' > 1' East N/A Yes No No Visible/Fine Layer ❑%tot' >1' West N/A 9Yes No No Visible/Fine Layer 0 % to 1' >1 '

Facade Description: -

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

Setbacks N/Al Floor.__ Debris: No Visible/Fine Layer %to 1' >V Floor____ Debris: No Visible/Fine Layer 36 to? >1" Floor.___ Debris: No Visible/Fine Layer 3% to 1 ' > 1' Floor._ Debris: No Visible/Fine Layer % to 1' > 1' Floor._ Debris: No Visible/Fine Layer %to 1' 9>1' Comments

Date: 4/ *12002 Inspection Team: Name: - Agency. Name: Agency:_______ • NTERED If NYC-WTC 000116995