WTC Asbestos Inspection Form, 138 West Broadway

NYC 9/11 Public Portal Document We a v V Ieuar Qurvey Form Premise Address: c~- Block: d Residen j Comma Na of Building: Lot 1 Mix UseIJ Other S of Stories: I AKAs: Building Owner/Management Telephone Number. ( ) Name: F - FAX: Address: On Site Contact. Name: ' ' ' °' ` ~' 1&ephone Number. Building Owner Management Activities interior Survey Performed Yes Q No - Exterior Survey Performed Yes D No General Clean Up Yes No Locations: ACM Clean Up Yes No Locations: Air Monitoring L]Yes No Locations: Copies of All Reports and Data Requested DYes

Visual Inspection Results:

Inspected . Debris North N/A Yes No No Visible/Fine 11to1' >1' South N/A Yes No No Visible/Fine Layer K to 1' >1' East N/A es No ibie/Fine Layer % to 1' a 1' West N/A Yes No No Visible/Fine Layer LayerH%toll, HWIN Facade Description: -

Roof Debris: No Visible !Fine Layer j] Y to1' Z]>1' Description: _

Setbacks WAD Floor._ Debris: No Visible/Fine Layer %to1' '1' Floor._ Debris: No Vsible/Fine Layer % to1' > 1' Floor.__ Debris: No Visible/Fine Layer % to 1' > 1' Floor___ Debris: No Visible/Fine Layer % to1' al' Floor:___ Debris: No Visible/Fine Layer % to1' >1' Comments

Dade: I LJ Inspection Team: Name: _L v a e — L ~ . I Slsme:

NYC-WTC 000109667