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← Document results/DEP Box 46/355 345 SOUTH END AV 1083373, 16/100
Document / 3 pages

Asbestos inspection form, 345 South End Ave, Oct 2001

Machine-extracted title · confidence 90%

Form recording facade and roof asbestos inspection results for a residential or commercial building.

NYC-WTC_000117425–000117427

Folder label: “355 345 SOUTH END AV 1083373, 16/100”

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NYC 9/11 Public Portal Document

-p WTC Visual Survey Form Premise Address: Lb — Block: Residential 0 Commercial D Name of Building: Lot: Mix Use D Other # of Stories: l AKA's: Building O er/ ement: Telephone Number: (2 - J -- v Name: - FAX: Address: On Site Contact: Name: Telephone Number: Building Owner Management Activities Interior Survey Performed [-des ❑ No Exterior Survey Performed [Yes ❑ No General Clean Up (a'l'es ❑ 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 [es ❑ No ❑ No Visible/Fine Layer 0½t01" 0>1" South ❑ N/A []'Yes ❑ No ❑ No Visible/Fine Layer ❑'/2 to 1" 0>1" East ❑ N/A EYes ❑ No ❑ No Visible/Fine Layer ❑ % to l" 0>1" West ❑ N/A j YesONo ❑ No Visible/Fine Layer ❑%to1" 0>1" Facade Description: R,,,j. . 'Lv e.4

Roof u Debris: ] No Visible /Fine ayer ❑ V. to 1" -1 ~^''' ❑ > 1" 1 Description:

Setbacks N/A j 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/Fine Layer ❑ Va to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer ❑ %2 to 1" ❑ > 1" Comments

Date: _/ 2-' ' /2002 Inspection Team: Name: Agency: Name: . (_-.. _Agency:

NYC-WTC-000117427

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NYC-WTC_000117427Source: NYC Law Department, mirrored locally

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Form requesting details on building management, ACM presence, air monitoring, and facade inspection results for 250 South End Avenue.

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