DEP service request log, 25 Broad St, Feb 2002

NYC 9/11 Public Portal Document

WTC Visual Survey Form IoaTJZ Premise Address: ' R-01 R.e'T Block: 7. Residential Commercial Name of Building: Lot: Mix Use ❑ Other ❑ Z$ -h \ # of Stories: AKA's: Building Owr1 rIManagemeflt: Telephone Number: ( ) Name: t FAX: ( ) Address: On Site Contac Name: t Telephone Number:'Jr- )2/T- 25 Building Owner Management Activities Interior Survey Performed ❑ Yes ❑ No Exterior Survey Performed ❑ Yes ❑ No ~~. General Clean Up ❑ Yes ❑ No Locations: O&)Q r dQc 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 ❑ YZ to 1" ❑ > 1" South ❑ N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer ❑ 1/ 2 to 1" ❑ > 1" East ❑ N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer ❑ 1/ 2 to 1" ❑ > 1" West ❑ N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer ❑ Y2 to 1" ❑ > 1" Facade Description:

Roof •71/ ♦r. 4" I—i 1" ❑ No Visible /Fine

Setbacks N/A Floo . Debrir o Visible/Fine Layer ❑ 1/ 2 to 1" ❑> 1„ Floor: C3~? Debris^~..No Visible/Fine Layer ❑%to l" 0>1" Floor. Debris:`❑ No Visible/Fine Layer ❑ 1% to l" 0>1" Floor: Debris: ❑ No Visible/Fine Layer ❑ 1/2 to l" 0>1" Floor: Debris: ❑ No Visible/Fine Layer [—] 1/x to 1" 0>1"

Comments

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Date: /1/2002 Inspection by: Name: Name: Agency:

NYC-WTC 000118630