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Asbestos inspection report form, 1-2 Chase Manhattan Plaza, Oct 2001

Machine-extracted title · confidence 100%

Blank DEP form for recording asbestos inspection details including inspector information and building characteristics.

NYC-WTC_000126961–000126965

Folder label: “1-2 CHASE MANHATTAN PLAZA BN# 1001021

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Scanned page image, NYC-WTC_000126961
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NYC 9/11 Public Portal Document

WTC Visual Survey Form BWA10010Z1 Premise Address: .,....- a Block: 4 L Residential ComrnerciaV Name of Building: Lot: 1 Mix Use D Other # of Stories: D AKA's: Building O ner/Manageme t: Telephone Number: ( Name: _______ FAX: Address: On Site Contact: nn 1~,1 Name: WVY . dQ Yvk.Gldre 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 ebris North ❑ N/A ❑ Yes ❑ No No Visible/Fine Layer ❑'/ 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 ❑'/ to 1" ❑ > 1" West ❑ N/A ❑ Yes ❑ No No Visible/Fine Layer ❑'/ to 1" ❑ > 1" Facade Description:

Roof

Debris: ` rNo Visible /Fine ayer ❑ % to 1" 1 ~"'' ❑> i 1 Description:

Setbacks N/A Floor: Debris: ❑ No Visible/Fine Layer ❑'/s to 1" ❑ > 1" 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 ❑'/ to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer ❑ A to 1" ❑ > 1"

Comments

Date: e I /2002 Inspection Team: Name: Name X 4 tvo tJ gency: Agency:

NYC-WTC 000126961

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NYC-WTC_000126961Source: NYC Law Department, mirrored locally

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