Label sheet for 253 Broadway environmental records

NYC 9/11 Public Portal Document

WTC Visual Survey Form Premise Address: 2 pL /Jrvac~w Block: Residential D Commer ial Name of Building: Lot: Mix Use J Other J btsre 1' # of Stories: / AKA's: Building Owner/Management: Telephone Number: ( ) Name: G•.. i' e FAX: Address: On Site Contact: Name: (/ -odes a. 1 t. 3io d.1- Telephone Number: (l.1~.) 2 Yo - 6 Building Owner Management Activities Interior Survey Performed ❑ Yes ❑ No Exterior Survey Performed ❑ Yes ❑ No General Clean Up Yes ❑ No Locations: .N lr f io! - -newoe e.~.r.-n-c 6611 ACM Clean Up ❑ Yes ® No Locations: - • s, Air Monitoring IYe , No Locations: C ; ç Copiá of All Reports and Data Requested D Yes

Visual I, on Results: Facade: Tye 'kiSit ected Debris North ❑ N/A VYPes ❑No ❑ No Visible/Fine Layer ❑Y2to1" 0>1" South ❑ N/A ®Yes❑No ® o Vis ine Layer ❑vato1" 0>1" East ❑ N/A ®Yes❑No /Fine Layer ❑Vato1" 0>1" West ®N/A []Yes❑No ❑ No isible/Fine Layer ❑ va to I" 0>1" Facade Description: 4r,1...._ -h

Roof ii. Debris: No Visible ine aver ❑ % to 1" •1 ❑ > 1" 1 -L- Description:

Setbacks N/A ] Floor: Debris: ❑ No Visible/Fine Layer ❑ % to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer ❑ % to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer ❑ %a to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer ❑ Va to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer ❑ Va to 1" 0> 1" Comments

Date: 7_i_12002 Inspection Team: Name: iQ• Ihrs4r. c_Agency: ( S cA4 Name: Agency:

NYC-WTC 000122362