Asbestos visual survey form, 26 Cliff Street

NYC 9/11 Public Portal Document

WTC Visual Survey Form tocn►68

eremilie Address: 2-6 CLIFF STAB& T Block: 5 Residential 0 Commercial Name of Building: Lot: g Mix Use 0 Other # of Stories: AKA's: Building Owner/Management: Telephone Number: ( ) Name: FAX: Address: On Site. Contact: Name: Telephone Number: Building Owner Management Activities Interior Survey Performed ❑ Yes ❑ No Exterior Survey Performed ❑ Yes ❑ No General Clean Up ❑ Yes ❑ No Locations: ACM Clean Up ❑ Yes ❑ No Locations: Air Monitoring ❑ Yes ❑ No Locations: Copies of All Reports and Data Requested Yes

Visual Inspection Results: Facade: Inspected Debris North N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer ❑'/2 to 1" South 0 N/A Yes ❑ No No Visible/Fine Layec ❑'/ to 1" East ❑ N/A Yes ❑ No No Visible/F.i ie-thayrsr ❑ Y2 to 1" West ❑ N/A Yes ❑ No No Visible/Eine4:ayer ❑'/z to 1" Facade Description:

Roof

Debris: ,R No Visible /Fine Layer ❑ %to 1" ❑ > 1" Description: d i e 3v

Setbacks N/A 19 Floor: Debris: ❑ No Visible/Fine Layer ❑% to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer ❑'/z to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer ❑'/2 to 1" ❑ > 1" Floor: Debris: [] No Visible/Fine Layer ❑'/2 to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer 0 Y2 to 1" ❑ > 1"

Comments

Date: '' 1' 002 Inspection Team: Name: Agency: Name: Agency:

NYC-WTC 000126421