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WTC Visual Survey Form, Facade Inspection Results

Machine-extracted title · confidence 90%

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

NYC-WTC_000117173–000117175

Folder label: “28 South Street. BIN# 1805201”

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Scanned page image, NYC-WTC_000117173
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OCR status: ok · source: pdftotext

NYC 9/11 Public Portal Document _®-- -- "~ W - - -_~ WTC VIS,6if Survey Form Prerraise Add :

Block: Residential CorLèiaJ Name of Building: Lot: Mix UseD Other # of Stories: 2. AKA's: Building Owner/Management Telephone Number ( ) Name: N c FAX: Address: On Site Contact: Name: ' ' Telephone Number. Building Owner Management Activities Interior Survey Performed ❑ Yes No Exterior Survey Performed [] Yes j] No General Clean Up Yes No Locations: ACM Clean Up Yes No Locations: Air Monitoring ❑ Yes 9 No Locations: Copies of All Reports and Data Requested Yes visual inspection Results: Facade: Inspected Debris North [] N/A 9 Yes No No Visible/Fine Layer 014 to 1' > 1' South ❑ N/A 9 Yes No No Visible/Fine Layer 14 to? > 1' East N/A 9 Yes No No Visible/Fine Layer 14 to 1" > 1' West J N/A J j Yes No No Visible/Fine Layer 14 to 1' 9>? Facade Des ption:

Roof Debris: 0 No Visible /Fine Layer [] 14 to 1' [J>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 14 to 1' > 1' Floor. Debris: No Visible/Fine Layer 34 to1' >1' Floor Debris: - No Visible/Fine Layer % to 1' > 1' Comments

Date: _4- i2.7 12002 inspection Team: Name: J .. S11G , R. a (MkAgency: O Name: Agency: N TE~ EQb

_ NYC-WTC 000117173

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NYC-WTC_000117173Source: NYC Law Department, mirrored locally

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