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

NYC 9/11 Public Portal Document

w-rr Viciial Siirvpv Form Premise Address: a cucZ1 Block: Resi ntial Commercial) Name of Building: Lot: Mix Use fl , Otber # of Stories: AKA's;, - 7.~ ; Building er/M nagem~". elephone Number ' ) Name: t l't f re _,7 Address: /L I io Name: P11 Telephone Number: j. P11 _._._._._._._._._._._ Building Owner ManagementActivities - 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 ❑ 1/2 to 1" ❑ > 1" South ❑ N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer ❑'/z to 1" ❑ > 1" East ❑ N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer ❑ Y2 to 1" ❑ > 1" West ❑ N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer ❑ 1/2 to 1" ❑ > 1" Facade Description:

Roof

Debris: ❑ No Visible /Fine Layer ❑ Y to 1" ❑ > 1" Description:

Setbacks N/A ❑ Floor: Debris: ❑ No Visible/Fine Layer ❑ /2 to 1" ❑ > 1" Floor. Debris: ❑ No Visible/Fine Layer El 1/2 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 ❑ /2 to 1" ❑ > 1"

Comments M '3 t

[__/ 1L 2002 Inspection Team: Name: A-U' l ~--Agency: Date: Name: - - • N - Agency: N

NYC-WTC 000126916