Asbestos inspection form, 94 South Street

NYC 9/11 Public Portal Document

- WTC Visual Survey Form I 00! 36 Promise Address: ,, Block: C, Residential 0 CommerciarM I Name of Building: Lot: I Mix UseD Other # of St rtes: AKA's: Building Owner/Manageme Telephone Number ( ) Name: - FAX: Address: On Site Contact Namd: ' ' 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 pYes

Visual Inspection Results: Facade: Inspected Debris North N/A Yes No No Visible/Fine Layer 14 to 1' >10 South N/A Yes No No Visible/Fine Layer 14 to 1' >10 East N/A Yes No No Visible/Fine Layer i4 to 1 >10 West N/A Ye No N Visible/F ne Layer 14 to 1' >10 Facade Description: ~, _

Roof Debris: o Visible /Fine Layer .9 14 to 1' 9>10 Description:

Setbacks N/A Floor___ Debris: No Visible/Fine Layer 14 to 1' >1 Floor:____ No Visible/Fine Layer 14 to 1' '1' Floor:_„ . Debris: No Visible/Fine Layer % to 1' >V Floor____ . Debris: No Visible/Fine Layer 1 to 1' >10 Floor:___ Debris: No Visible/Fine Layer 14 to 1' > 1' Comments

Date: 1 1s 12002 Inspection Team: Name: Agency: Names Agency

NYC-WTC-000117000