Asbestos inspection form, 140 Broadway, Oct 2001

NYC 9/11 Public Portal Document r. t . . WTC Visual Survey Form Bnta 100 l0Z7 Premise Address:

Block: £.4 I Residential 0 Commerci Name of Buildi g: Lot: I Mix Use Other # of Stories: I AKA's: Building Owner/Management: JzTelephone Number: ( ) Name: b W % cz m.Wp ( fr-P FAX:( Address: jtfc~ On Site Contact: Name: W- • C Telephone Number: Building Owner Management Activities Interior Survey Performed es ❑ No Exterior Survey Performed Ts ❑ No General Clean Up es ❑ No Locations: ACM Clean Up u Yes® No Locations: Air Monitoring Yes ❑ No Locations: Copies of All Reports and Data Requested es

Visual Inspection Results: Facade: Inspected bras North ❑ N/A ❑ Yes ❑ No EJJ Visible/Fine Layer No ❑%tol" 0>1" South ❑ N/A ❑ Yes ❑ No No Visible/Fine Layer ❑%to1" 0>1" East ❑ N/A ❑ Yes ❑ No JJJ No Visible/Fine Layer ❑%%to 1" ❑> 1" West ❑ N/A ❑ Yes ❑ No No Visible/Fine Layer ❑%to1" 0>1" Facade Description:

Roof

Debris: No Visible /Fine , ayer ❑ % to 1" .1 ; 444 > ❑ 1" •I ;x..14 Description:

Setbacks N/A Floor: 3 Debris: ❑ No Visible/Fine Layer ❑V to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer ❑ V to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer ❑ Va to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer ❑ Va to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer ❑ Va to 1" ❑ > 1"

Comments

Date: D / X002 Inspection Team: Name: i' Agency: __ Name: Agency:

NYC-WTC 000122520