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Document / 8 pages

Asbestos inspection form, 175 Broadway, Oct 2001

Machine-extracted title · confidence 90%

Form documenting facade and roof debris inspection results for 175 Broadway following WTC collapse.

NYC-WTC_000122640–000122647

Folder label: “175 BROADWAY 1001078, 63/20

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Scanned page image, NYC-WTC_000122640
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NYC 9/11 Public Portal Document NYC-WTC_000122640 ar ar en WTC Visual Survey Form Premi ee - i ema (5 ys e Corset bind Sd oc ame of Building: |Lot: ; Mix Use ‘a Other[] re fury 7) Deg Sores # of Stories: b AKA's: [ Building Owner/Management: Telephone Number: (#2 )222~ $092 Name: FAX: ( ) Address: On Site Con Name: | my aso HullA / SreurAy rs v. Telephone Number: (VU) 2079-964 2 Building Owner Management Activities = / Interior Survey Performed [(] Yes [_] No Exterior Survey Performed [_] Yes [_] No ‘ General Clean Up ]Yes[_]No Locations:_ J. Ae for, foe é. ACMCleanUp [|Yes[No Locations: Air Monitoring >€Yes[_]No Locations: ___ Copies of All Reports and Data Requested [_] Yes Visual Inspection Results: Facade: #8 inspected Debris North [IN/A ><] Yes [|] No [([]No Visible/Fine Layer [X)%to1" []> 1” "South [INA IX] Yes [[] No [_] No Visible/Fine Layer [%]%to1” []> 1” East CJ N/A [x] Yes [_] No [_] No Visible/Fine Layer %to1” []>1" West ~“LIN/A 5 Yes[_ | No [_] No Visible/Fine Layer %to1” []>1" | Facade Description: Frritenin Uusntlewe ek - Debars on Lacaele , lees tenehays, of mb ielime 7 Roof pusk Debris: No Visible rine\ayer word Ppa 7 tet Description: cis Ow 3 of all bur (el'ng 6. Setbacks N/A[] Floor: 4 f Debris: [_] No Visible/Fine Layer [/j % to 1° []> 1°" Floor: Debris: [_] No Visible/Fine Layer [_]% to 1” []> 1° Floor: Debris: [_] No Visible/Fine Layer [_]% to 1” [j> 1” Floor: Debris: [_] No Visible/Fine Layer [_]% to 1” [> 1° Floor: Debris: [_] No Visible/Fine Layer [_] % to 1” [> 1° Comments BR FRCS -Clalear tes Curntvac ton) E ve. ( Air L100 for prog ) J Cevtyre, 21, wil! Anis Clthres"” teste prof fax _ resvits +o EPRG [DEP Gye card Msow Holla. Date: } LIT f2002 Inspection Team: Name: R. FF fzpmteick Agency: U § EPR 4 Name: _F£. O1¢e(/ Agency: AY CDEP

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NYC-WTC_000122640Source: NYC Law Department, mirrored locally

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