Asbestos inspection form, 345 South End Ave, Oct 2001

NYC 9/11 Public Portal Document

WTC Visual Survey Form Premise Address- 2k)o S - y tEi.0 ~. Block: Residential D Commercial j Name of Building: Lot: Mix Use 0 Other # of Stories: AKA's: Building Owner! anagement: Telephone Number: ( ) B ~~a Address: On Site Contact: Name: b -Q-(y - Telephone Number: (2-i 32.-i - Building Owner Management Activities Interior Survey Performed 1] Yes ❑ No Exterior Survey Performed es ❑ No General Clean Up EYes D No Locations: ACM Clean Up ❑ Yes ❑ No Locations: Air Monitoring SYes ❑ No Locations: Copies of All Reports and Data Requested es visual inspection Results: Facade: Inspected Debris North ❑ N/A [Yes ❑ No ❑ No Visible/Fine Layer ❑'/to1" 0>1" South ❑ N/A D'Sres ❑ No ❑ No Visible/Fine Layer ❑ Y to 1" 0>1" East ❑ N/A es ❑ No ❑ No Visible/Fine Layer ❑%ato1" 0>1" West ❑ N/A Fes ❑ No ❑ No Visible/Fine Layer ❑Yato 1" 0>1" Facade Description:

Roof •t.'~t Debris: ❑ No Visible /Fine yer ❑ % to 1" •1 •{^'''~ > 1" j Description:

Setbacks N/A ❑ Floor. Debris: ❑ No Visible/Fine Layer ❑ Va to? ❑ > 1" Floor. Debris: 0 No Visible/Fine Layer ❑ % to 1" ❑ > 1" Floor: Debris: D No Visible/Fine Layer ❑ %a to 1" ❑ > 1" Floor Debris: ❑ No Visible/Fine Layer ❑ % to? ❑ > 1" Floor Debris: ❑ No Visible/Fine Layer ❑ % to 1" ❑ > 1" Comments c

Date: l / 2( /2002 Inspection Team: Name: Agency: Name: (2Cy—.-. Agency:

NYC-WTC-000117557