Asbestos inspection form, 345 South End Ave, Oct 2001

NYC 9/11 Public Portal Document

WTC Visual Survey Form Premise Address:

Block: I 3(c Residential _-._3 Commercial 0 Name of Building: 0 Lot: Mix Use Other # of Stories: K AKA's:. Building O err//Mm ement. Telephone Number: (pJ 32 I _. -c v Name: ~~ FAX: Address: On Site Contact: Name: ' Telephone Number: Building Owner Management Activities Interior Survey Performed Byes ❑ No Exterior Survey Performed Yes ❑ No General Clean Up ❑''Ses ❑ No Locations: ACM Clean Up ❑ Yes ❑ No Locations: Air Monitoring des ❑ No Locations: Copies of All Reports and Data Requested Yes

Visual Inspection Results: Facade: Inspected Debris North ❑ N/A Eyes ❑ No ❑ No Visible/Fine Layer ❑ % to 1" South ❑ N/A Q'Yes ❑ No ❑ No Visible/Fine Layer ❑V= to 1" East ❑ N/A Yes ❑ No ❑ No Visible/Fine Layer 0 V to 1" West ❑ N/A Yes ❑ No ❑ No Visible/Fine Layer ❑ % to 1" Facade Description: 9v s

Roof

Debris: ] No Visible /Fine ayer ❑ % to 10.1 •{'""4 ❑ > 1" 1 •i "'~ Description:

Setbacks N/A DD Floor: Debris: ❑ No Visible/Fine Layer ❑'/ to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer ❑ Va to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer ❑ Va to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer 0 Y to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer ❑ a to 1" ❑ > 1"

Comments

Date: \ i ZI 12002 ,/ Inspection Team: Name: Agency: Name: . <--. Agency:

NYC-WTC-000117425