DEP request letter, 65 Broadway, Feb 2002

NYC 9/11 Public Portal Document

- WTC Visual Survey Form PrBmiseAdd ss*7 Ll

Block: Residential Commercial Name of Building: Lot: Mix Use ❑ Other # of Stories: AKA's: R-tiN t - Building Owner/Management: Telephone Number: ( it.) -3 & b Name: FAX: ( ) Address: On Site Contact• ~~ Name: v'ao~.~._ ~G. ~ > Telephone Number: (2 Z) Building Owner Management,Activlties Interior Survey Performed es ❑ No Exterior Survey Performed es ❑ No General Clean Up ❑ Yes Q No Locations: ACM Clean Up ❑ Yes No Locations: Air Monitoring es ❑ No Locations: Copies of All Reports and Data Requested J J Yes

Visual Inspection Results: Facade: Inspected Debris North ❑ N/A es ❑ No No Visible/Fine Layer ❑ Y2 to 1" ❑ > 1" South ❑ N/A Yes ❑ No No Visible/Fine Layer ❑ /2 to 1" ❑ > 1" East ❑ N/A Yes ❑ No No Visible/Fine Layer ❑ Y2 to 1" ❑ > 1" West ❑ N/A TesE] No No Visible/Fine Layer ❑ /2 to 1" ❑ > 1" Facade Description:

Roof vti Debris: NNo Visible /Fine'Layer Description.

Setbacks N/A( -

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

Comments

Date: Inspection Team: Name: Agency: Name: Agency:

'i i !7 NYC-WTC- 000122474