Asbestos project notification form, 90 Church Street area, Oct 2001

NYC 9/11 Public Portal Document

WTC Visual Survey Form Premise Address:

Block: Residential Commercial J Name of Building: Lot: Mix Use J Other # of Stories: AKA's: Building Owner/Management: Telephone Number: ( ) Name: FAX: Address: On Site ------------------------------------------------------------ Name: P11 Telephone Number P11 Building Owner ManagemenTAiFities 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 0 Yes

Visual Inspection Results: Facade: Inspected Debris North ❑N/A ❑Yes❑No ❑ No Visible/Fine Layer ❑%tol" ❑>1" South ❑ N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer ❑fatol" ❑>1" East ❑ N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer ❑ / to 1" O>1" West ❑ N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer ❑%to1" ❑>1" Facade Description:

Roof

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

Setbacks N/A ❑ Floor: Debris: ❑ No Visible/Fine Layer 0½ to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer ❑ % to 1" ❑ > 1" Floor: Debris: 0 No Visible/Fine Layer ❑'/Z to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer ❑ % to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer ❑ % to 1" ❑ > 1"

Comments M _ mur Date: f/ 12002 Inspection Team: Name: Name: Agency: Ifl` Agency:

NYC-WTC 000126927