Property owner information query, 265 Broadway, Jan 2002

NYC 9/11 Public Portal Document

WTC Visual Survey Form Premise Address:2 - ,267 oec Block: Residential 0 Commercial 1 I Name of Building. Lot: Mix Use El Other # of Stories: S- AKA's: Building Owner/Management: Telephone Number. ( .t. ) 13 ? - .,r i,, Name: G SfEA FAX:( Address: 2&r- 2t1 roadLC N- . - /0.0 On Site Conta Name: 2 - /311ç. &q1'. Telephone Number: (a i . AT 3- Building Owner Management Ac ities Interior Survey Performed ❑ Yes ❑ No 7 Exterior Survey Performed ❑ Yes ElNo ' r'C General Clean Up ® Yes 0 No Locations: e+ ACM Clean Up ❑ Yes ❑ No Locations: Air Monitoring [1Yes ❑ No Locations: Copies of All Reports and Data Requested Yes

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Facade: Inspected Debris North ❑ N/A ❑ Yes ❑ No ElNo Visible/Fine Layer ❑Y2to1" 0>1" El N/A Yes ❑ No No isibl i eI r ❑Y2 to 1" ❑> 1" East ❑ N/A '~ Yes f 1No oVisible in a er ❑Y2to1" ❑>1" West ❑ N/A ® Yes ❑ No ® o isi I me Laye ❑'/ to 1" 0>1" Facade Description:

Roof

Debris: No Visible ine aver ❑ Y2 to 1" 1 {^"' ❑ > 1" 1 Description: Ve7 Senggtl y o' G✓TC fy.e cle-6e.ic ury

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 ❑ %2 to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer ❑ Y2 to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer ❑ % to 1" ❑ > 1"

Comments

Date: _I / _/2002 Inspection Team: Name: - ffZ A +ttt Agency: OV4 2 Name: Agency:

NYC-WTC 000122410