WTC asbestos inspection form, 25-23 Cliff Street

NYC 9/11 Public Portal Document

WTC Visual Survey Form 100lt7f Premise Address: 2S CL►FF S'7- Block: Residential J Commercials Name of Building: Lot: Mix Use 1 1 Other 0 S cJtik6,r, i41c kl #of Stones: AKA's: 4 Building Owner/Management:Ui. farme4 2 Telephone Number: (2(2) —"co Name: eA £ei ds f. FAX: ( ) Address: On Site Contact: S.2p Name: aJ3 , h+-ca , me 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 ❑'/Z to 1" South N/A Yes ❑ No No Visible/FOw-Layer ❑ % to 1" East ❑ N/A Yes ❑ No No Visible/F-ire-bayer ❑ V2 to 1" West N/A DYesDNo O No Visible/Fine Layer ❑'/2 to 1"

Facade Description:

Roof

Debris: W No Visible /I*ine-Loyef-- ❑ % to 1" 0>1" Description:

Setbacks N/Ag Floor: Debris: ❑ No Visible/Fine Layer 0 V to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer ❑ % to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer ❑ Va to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer ❑ % to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer ❑ Y2 to 1" ❑ > 1"

Comments

L 1 Date: " I —12002 Inspection Team: Name: &- Agency: Name: Agency:

NYC-WTC 000126425