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Building inspection form for 179 Broadway regarding asbestos and air

Machine-extracted title · confidence 85%

Form documenting building details and inspection results for asbestos-containing materials and air monitoring at 179 Broadway.

NYC-WTC_000122818–000122821

Folder label: “179 BROADWAY 1001076, 63/18

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Scanned page image, NYC-WTC_000122818
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NYC 9/11 Public Portal Document

•.,~ / 3 WTC Visual Survey Form Premi?eAd : o.'w,t Block Residential 0 Comer ' Na a of Building: Lot: Mix UseD Other D "Li vee-c # of S or es: 6 AKA's: Building Owner/Management: Telephone Number. (141. ) a,z.'y.. ~o~Z Name: FAX: Address: On Site Contac Name: " ' . 4-Sow I{v l(A evr,1 ?l r. Telephone Number.(?4t) Z• Building Owner Management Activities Interior Survey Performed Q Yes Q No Exterior Survey Performed Q Yes Q No • General Clean Up jI Yes Q No Locations: . co. ACM Clean Up Q YesJ No Locations: Air Monitoring [ Yes D No Locations: Copies of All Reports and Data Requested Q Yes

Visual inspection Results: facade: • Inspected Debris North t] N/A ® Yes Q No ❑ No Visible/Fine Layer % to 1" " -'South Q N/A ® Yes Q No ❑ No Visible/Fine Layer J to 1" 'h East Q N/A Yes Q No ❑ No Visible/Fine Layer % to 1" West Q N/A fJ Yes ❑ No ❑ No Visible/Fine Layer [j % to 1" Facade Description:

Roof pjst to Debris: QNo Visible /Fine yer Va to 1" •J =i""' ❑ > 1" 1 Description: oa /'d# , , ds s~' .i1 bv. d, t.

Setbacks N/A ❑ Floor 4 Debris: Q No Visible/Fine Layer % to 1" ❑ > 1" Floor Debris: Q No Visible/Fine Layer [] % to 1" 0> 1" Floor. Debris: Q No Visible/Fine Layer 034 to 1" ❑ > 1" Floor. Debris: Q No Visible/Fine Layer D6 to 1" ❑ > 1" Floor Debris: Q No Visible/Fine Layer 034 to 1" 0> 1"

Date: 1 /.2r,2002 Inspection Team: Name: R Agency: 1 • 01 I Name: . Ol ,P!/ 0 Agency: NBC DE /o

NYC-WTC 000122818

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NYC-WTC_000122818Source: NYC Law Department, mirrored locally

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