Asbestos inspection report form, 90 Church Street area, Oct 2001

NYC 9/11 Public Portal Document

WTC. Visual Survav Form Premise Address:

Block: Residential 0 Commercial F Name of Building: Lot: Mix UseD Other 0 - S o " -j c3kEt C (_ # of Stories: 3 AKA's: Building Owner/Management: Telephone Number ( ) Name: FAX: ) Address: On Site Contact: Name: p"e: ~-- W ~'k• Telephone Number. Building Owner Management Activities Interior Survey Performed 4s ❑ No Exterior Survey Performed es ❑ No General Clean Up s ❑ No Locations: ACM Clean Up I is ❑ No Locations: Air Monitoring )~4~[]No Locations: Copies of All Reports and Data Requestedl3yes

Visual Inspection Results: Facade: Inspected Debris North ❑ N/A -f aVes ❑ No ❑ No Visible/Fine Layer O % to 1" 0>1" South ❑ N/A [Z[Yes ❑ No ❑ No Visible/Fine Layer J ] Y2 to 1" 0>1" East ❑ N/A Yes ❑ No ❑ No Visible/Fine Layer Q % to 1" 0>1" West ❑ N/A [Yes ❑ No ❑ No Visible/Fine Layer E31/2 to 1" ❑ > 1" Facade Description:

Roof

Debris: No Visible /Fine Layer ❑ Y2 to 1" 0>1" Descriptio . : ., I , V,

Setbacks N/A ❑ 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 ❑ %2 to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer ❑ Y2 to 1" ❑ > 1" Floor. Debris: ❑ No Visible/Fine Layer ❑ % to 1" ❑ > 1" Comments ()~~,

Date: /Z /2002 Inspection by: Name: Agency: Name: Agency: - dl,

NYC-WTC_ 000126915