Asbestos visual survey form, 27 Cliff Street

NYC 9/11 Public Portal Document vv I visual *urvey rorm c~~,o.d t cey OLONCE~ Premise Address: 2T e-LI F F 51rrEe r Block: t 2_4 Residential 0 Commercial J Name of Building: Lot: 2a Mix Use 0 Other 0 of Stories: s AKA's: Building Owner/Management: Telephone Number: (2,7 )78s -2Z , Name: 2 -r cu F s-f FAX: Address: On Site Contact Name: r2,d_I e 3 v2-c' Telephone Number: Building Owner Management Activities Interior Survey Performed ❑ Yes ❑ No Exterior Survey Performed ❑ Yes ❑ No General Clean Up ® Yes No Locations: F. Fr.c~oE ACM Clean Up ❑ Yes No Locations: Air Monitoring 0 Yes ❑ No Locations: Copies of All Reports and Data Requested Yes

Visual inspection Kesuits: Facade: Inspected Debris North ❑ N/A (2j Yes ❑ No ❑ No Visible/Fine Layer ❑ % to 1" ❑ >1 South ❑ N/A Q Yes ❑ No ® No Visible/Fine Layer ❑ % to 1" ❑ > 1" East ❑ N/A ® Yes ❑ No No Visible/Fine Layer ❑ % to l" ❑ > 1" West ❑ N/A ® Yes ❑ No ❑ No Visible/Fine Layer ❑ % to l" 0>10 Facade Description:

Roof

Debris: ® No Visible /Fine Layer D to 1" ' ❑ > 1" Description: . - -r . c ,N is

Setbacks N/A Floor____ Debris: 0 No Visible/Fine Layer ❑'A to 1" ❑ > 1" Floor. Debris: ❑ No Visible/Fine Layer ❑'/ to 1" ❑ > 1" Floor. Debris: ❑ No Visible/Fine Layer 0 % to 1" ❑ > 1" Floor Debris: 0 No Visible/Fine Layer ❑ A to 1" ❑ > 1" Floor. Debris: ❑ No Visible/Fine Layer ❑ 4 to 1" ❑ > 1"

Comments

Date: =/2002 Inspection Team: Name: T3F / c2® Agency: -w?c Name: Agency:

NYC-WTC 000126414