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WTC Visual Survey Form, Facade Inspection Results

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Visual survey form recording facade inspection results and asbestos locations for a World Trade Center building.

NYC-WTC_000117159–000117160

Folder label: “23 South Street BIN# 1805177 23,24,26 27 South Street

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NYC 9/11 Public Portal Document

WTC Visual Surrey Form Premise Addre

Block: ResidentialLi Commercial Name of Building: Lot Mix UseD Other S of Stories: 2. AKA's: Building Owner/Management Telephone Number. ( ) Name: F rnflffr7FAX: 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 E] No Locations: Copies of All Reports and Data Requested 9 Yes

visual InsDection Results: Facade: Inspected Debris North ❑ N/A Yes Q No No Visible/Fine Layer % to 1' > 1" South [] N/A Yes No No Visible/Fine Layer h to? > 1' East ❑ N/A Yes No No Visible/Fine Layer i4 to 1' >1 West H30IN J N/A Yes No ,~ No Visible/Fine Layer H%tol' Facade Des otion:

Roof

Debris: 0 No Visible /Fine Layer 916 to 1" 0>1. Description: d __

Setbacks N/A~ Floor Debris: ❑ No Visible/Fine Layer 16 to? >V Floor____ Debris: Q No Visible/Fine Layer % to 1' > 1" Floor Debris: [] No Visible/Fine Layer 16101" >1" Floor. Debris: No Visible/Fine Layer 1 to 1' >1" Floor. Debris: No Visible/Fine Layer % to? >1' Comments

Date: 4— 127 12002 Inspection Team: Name: D. R. weelkAgency:OF Name: Agency:

NYC-WTC 000117159

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NYC-WTC_000117159Source: NYC Law Department, mirrored locally

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