Asbestos project notification form, 150 Duane Street

NYC 9/11 Public Portal Document

WTC Visual Survey Form Premise Address: j/Sll7LJe- /3 2( k.) 'R Block: Residential 0 CommercialU Name of Building: Lot: Mix Use Other # of Stories: 5 AKA's: Building Owner/Management Telephone Number. ( ) Name: FAX: Address: On Site Contact: Name: • ' .. t e) ems. 1.3 . Telephone Number: Building Owner Management Activities Interior Survey Performed 0 Yes ❑ No Exterior Survey Performed Q Yes ❑ No General Clean Up Q Yes [] No Locations: ACM Clean Up Q Yes 0 No Locations: Air Monitoring [) Yes ❑ No Locations: Copies of All Reports and Data Requested Yes

Visual Inspection Results: Facade: Inspected Debris North j] N/A ❑ Yes ❑ No Q No Visible/Fine Layer ❑'h to 1" 0>1" South ❑ NIA Yes ❑ No j~ No Visible/Fi -L r ❑'Atol" ❑>1" East ❑ N/A DYesDNo (O No Visible/Fine Layer ❑v:to l" 0>1" West []N/A OYesDNo 10 No Visible/F.ine- er- [] h to 1" 0>1" Facade Description:

Roof

Debris: PI No Visible /Fi EJYato1" 0>1" Description:

Setbacks N/A ~l Floor. Debris: Q No Visible/Fine Layer ❑ ih to l" 0>1" Floor. Debris: Q No Visible/Fine Layer [] Ya to V 0> 1' Floor: Debris: 0 No Visible/Fine Layer 0 % to 1" ❑ > 1" Floor: Debris: 0 No Visible/Fine Layer 0 % to 1" ❑ > 1' Floor. Debris: 0 No Visible/Fine Layer ❑ 4 to V ❑ > 1"

Comments

Date: co 1,12002 Inspection Team: Name: /Q.4-t7? Agency: J)Cp _ Name: Agency:

NYC-WTC 000126064