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Document / 4 pages

Asbestos visual survey form, 27 Cliff Street

Machine-extracted title · confidence 90%

Visual inspection form recording facade conditions and ACM findings at 27 Cliff Street.

NYC-WTC_000126415–000126418

Folder label: “27 CLIFF STREET 1001178, 76/7

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Scanned page image, NYC-WTC_000126415
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NYC 9/11 Public Portal Document

WTC Visual Survey Form ► n Q i 11 Pret e Address: - CLt FF S'r' Block: Residential 0 Commercial Name of Building: Lot: Mix Use D Other J J #øf Stories: S AKA's: Building Owner/Management: 27 cLfF cr Rft'! Telephone Number. (212) 2$ _27cO Name: R soh FAX: Address: 27 c Li P sT / loo.A` On Site Contact: Name: - ,r' . rte► ~o Telephone Number: Building Owner Management Activities Interior Survey Performed ❑ Yes ❑ No Exterior Survey Performed 0 Yes ❑ No General Clean Up Yes fl No Locations: ACM Clean Up 0 Yes No Locations: Air Monitoring ❑ Yes No Locations: Copies of All Reports and Data Requested fl Yes

Visual Inscection Results: Facade: Inspected Debris North fN/A ❑Yes❑No ❑ No Visible/Fine Layer ❑'/2 to 1" 0>1" South N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer ❑ %2 to 1" 0>1" East ❑ N/A E Yes ❑ No No Visible/Fine Layer ❑ % to 1'" 0>1" West ®N/A ❑ Yes ❑ No [] No Visible/Fine Layer ❑'/:to 1" 0>1" Facade Description:

I Roof

Debris: (R NeVisible /Fine Layer ❑ Y2 to 1" 0>1" Description:

Setbacks N/A 9J Floor. Debris: 0 No Visible/Fine Layer ❑'/ to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer 0 % to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer 0 Y to 1" ❑ > 1" Floor. Debris: ❑ No Visible/Fine Layer ❑V2 to 1" ❑ > 1" Floor. Debris: ❑ No Visible/Fine Layer 0 % to 1" ❑ > 1"

Comments

Date: 2 /2-0 /2002 Inspection Team: Name: Agency: Name: Agency:

NYC-WTC 000126415

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NYC-WTC_000126415Source: NYC Law Department, mirrored locally

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