Asbestos inspection form, Battery Park Building

NYC 9/11 Public Portal Document

+ 4 ~ WTC Visual Survey Form Premise Address:

Block: Residential fJ Commer Name of Building: Lot: Mix UseD Otherfl 0 of Stories: AKA's: Building Owner/Management Telephone Number ( S _ Name: FAX: Address: On Site Contact Name: ' ' Telephone Number. Building Owner Management Activttfs Interior Survey Performed Yes No Exterior Survey Performed Q Yes J No General Clean Up ❑ Yes No Locations: ACM Clean Up ❑ Yes Q No Locations: Air Monitoring ❑ Yes ❑ No Locations: Copies of All Reports and Data Requested Yes

Visual Insaection Results: Facade: Inspected Debris North N/A ❑Yes ❑ No O No Visible/Fine Layer ❑ % to l' 0>1' South N/A Q Yes [] No No Visible/Fine Layer [] ~4 to 1' 9>1' East N/A Yes ❑ No No Visible/Fine Layer ❑%to 1' 0>1' West N/A DYcsDNo (O No Visible/Fine Layer 034t01' 0>1' Facade Description: ✓ (:

Roof

Debris: No Visible /Fine Layer .0 34 to? ❑ > 1' Description:

Setbacks N/A Floor.___ Debris: No Visible/Fine Layer ❑ % to 1' 0>1. Floor____ Debris: J No Visible/Fine Layer 04 to 1' 0>1' Floor___ Debris: 0 No Visible/Fine Layer 034 to 1' 0> 1' Floor Debns 0 No Visible/Fine Layer 034 to 1' 0> 1' Floor..,_ Debris: 0 No Visible/Fine Layer D4 to 1' 0>1' Comments

Date: / 002 Inspection Team: Name: Agency

NYC-WTC 000119420