Asbestos inspection form, 160 Broadway, Oct 2001

NYC 9/11 Public Portal Document

WTC Visual Survey Form PremiseAddress 6 Block: (, R enaiD Commercial 0 Na e of Building: Lot: I Is Mix Use ❑ Other # of Stories: AKA's: Building Owner/Manage rrtent: Telephone Number: ( ) Name: FAX: ( ) Address: b © On Site Contact: Name: " " rw~C ' BPS Telephone Number: Building Owner Management Activitie Interior Survey Performed ❑ Yes ❑ No Exterior Survey Performed ❑ Yes ❑ No General Clean Up ❑ Yes ❑ No Locations: ACM Clean Up ❑ Yes ❑ No Locations: Air Monitoring ❑ Yes ❑ No Locations: Copies of All Reports and Data Requested J Yes

visual inspection KeSUIts: Facade: Inspected Debris North ❑ N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer ❑Y to 1" 0>1" South ❑ N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer ❑'/tol" 0>1" East ❑ N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer ❑Yto1" 0>1" West ❑ N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer ❑Yatoo1" 0>1" Facade Description:

Roof o — wq t Y Debris: '5Vo Visible /Fine yer ❑ Va to 1" 1 0>1" 1 Description:

Setbacks N/A e Floor: Debris: ❑ No Visible/Fine Layer ❑'/2 to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer ❑ Vito 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer ❑ V to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer ❑ % to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer ❑ 4 to 1" ❑ > 1"

Date: /x_/2002 Inspection Team: Name: Agency: ,s Name: Agency:

NYC-WTC 000122534