Asbestos inspection form, 345 South End Ave, Oct 2001

NYC 9/11 Public Portal Document

WTC Visual Survey Form vA Premise Address:

Block: Residential Commercial Name of BulldIng• Lot: Mix Use 0 Other # of Stories: AKA's: gc- .S' -i4 ~~- Building Owner/Management Telephone Number. Name: Address: On Site Contact: ~~ Name: - - °ti`'"~ s c° Telephone Number. (2i 2-) 32 t Building Owner Management Activities Interior Survey Performed Q'Sfes ❑ No Exterior Survey Performed Q'Yes ❑ No General Clean Up E Yes ❑ No Locations: ACM Clean Up ❑ Yes ❑ No Locations: Air Monitoring ❑ Yes 2ND Locations: Copies of All Reports and Data Requested `•. Yes

Visual inspection Results: Facade: Inspected Debris North ❑ N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer ❑ /2 to 1" 0>1" South ❑ N/A [Yes ❑ No ❑ No Visible/Fine Layer ❑Y2to1" ❑>1" East ❑ N/A Q Yes ❑ No ❑ No ViSible/Fine Layer ❑%2 to 1" 0>1" West ❑ N/A [Yes ❑ No ❑ No Visible/Fine Layer ❑%to1" 0>1" Facade Description. ,

Roof Est Debris: No Visible /Fine ayer ❑ %2 to 1" •1 j> 1" " Description:

Setbacks N/A ❑ Floor: Debris: ❑ No Visible/Fine Layer ❑ Va to 1" ❑ > 1" Floor Debris: ❑ No Visible/Fine Layer ❑ % to 1" ❑ > 1" Floor. Debris: 0 No Visible/Fine Layer ❑ V to 1" ❑ > 1" Floor. Debris: ❑ No Visible/Fine Layer ❑ V to 1" 0>1" Floor. Debris: j_] No Visible/Fine Layer ❑ % to 1" ❑ > 1"

Comments

Date: 1 /2002 inspection Team: Name: Agency: Name: Agency:

NYC-WTC-000117438