Asbestos inspection form, 106 South Street

NYC 9/11 Public Portal Document

WTC Visual Survey Form remise Address:

Block: ResidentialLi Commercial Name of Building: Lot: Mix UseD Other # of Stories: AKA's: Buflding 0wner1P4anagement nn Telephone Number. ( ) Name: N\ FAX: Address: On Site Contact Name: " ' .' ' Telephone Number. Building Owner Management Activities Interior Survey Performed Yes ❑ No Exterior Survey Performed Yes EE] 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 p Yes

Visual Inspection Results: Facade: Inspected Debris North j] N/A Yes 0 No No Visible/Fine Layer 34t0 V > 1" South [] N/A Yes No No Visible/Fine Layer 34 to 1' > 1' East N/A Yes No No Visible/Fine Layer 34 to 1' > 1' West Cj N/A es No o Visible/Fine Layer 0 34 to? ❑ > 1' Facade Description:

Roof Debris: o Visible JFine Layer E] 34 to V 0 > 1' Description:

Setbacks N/A~ Floor___ Debris: No Visible/Fine Layer % to 1' > 1' Floor: Debris: No Visible/Fine Layer % to 1' > 1' Floor. Debris: No Visible/Fine Layer % to 1' > 1' Floor: Debris: No Visible/FineFine Layer 34 to? > 1' Floor. Debris: No Visible/Fine Layer 34 to 1' >1'

Comments

Date: Inspection Team: Name: Agency: - Name: Agency:_______ ENT E 0

NYC-WTC-000117006