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Document / 3 pages

WTC environmental inspection form, 179 Broadway, undated

Machine-extracted title · confidence 85%

Inspection form recording facade conditions and ACM presence at 179 Broadway.

NYC-WTC_000122813–000122815

Folder label: “179 BROADWAY 1001076, 63/18

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NYC 9/11 Public Portal Document . vv I k f visual curve • n €147 i3, o.►o(w*!1 O, 1 i U4tIb S

Block Res dentiai D Comer ' Na1 a of Building: Lot_jS4 Mix Use Other 4j, t , #ofSo.es: AKA's: Building 'Owner/Management: Telephone Number. (LSZ. ) i.a..Z.. 7011 Name: FAX:( Address: On Site Contac Name: * ' ..j4-o,/ li v 11,4 Sr(v,.1 rr r. Telephone Number (14t) Z Building Owner Management Activities Interior Survey Performed ❑ Yes [] No Exterior Survey Performed ❑ Yes ❑ No • General Clean *Up Yes ❑ No Locations: L4er iw- , to. ACM Clean .Up ❑ Yes No Locations: Al! Monitoring (~Yes [~] No Locations: Co les'of All Reports and Data Requested Yes

Visual inspection Results: facade: Inspected Debris North ❑ N/A ® Yes ❑ No ❑ No Visible/Fine Layer '/z to 1" • South ❑ N/A ® Yes ❑ No ❑ No Visible/Fine Layer [J 'h to 1" East ❑ N/A ® Yes ❑ No ❑ No Visible/Fine Layer SA '/ to 1" West ❑ N/A (I Yes ❑ No ❑ No Visible/Fine Layer ½ to 1" Facade Descrintion-

Roof Asti Debris: fl No Visible /Fine ayer [0 % to 1" •~ =t''"'rt ❑ > 1" 1 Description: j e. rr . ('.r yes e- at! b#.(a(, t•

Setbacks NIA ❑ Floor. i' Debris: ❑ No Visible/Fine Layer ®% to 1" ❑ > 1" Floor. Debris: ❑ No Visible/Fine Layer ❑ % to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer ❑ % to 1" ❑ > 1" Floor. Debris: ❑ No Visible/Fine Layer ❑ Yz to 1" ❑.> 1" Floor. Debris: ❑ No Visible/Fine Layer 034 to 1" ❑ > 1"

Date: I/ i ( /2002 Inspection Team: Name: P. F'tL 1r/C(C Agency: V 6P Name: , 014g, // D Agency: N K C P F /~

NYC-WTC 000122813

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NYC-WTC_000122813Source: NYC Law Department, mirrored locally

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