WTC debris inspection form for 190 Broadway, n.d.

NYC 9/11 Public Portal Document ea

WTC Visual Survey Form Premise Address: 1 1 a + '"1 a

Block: Residential 0 Commercial Name of Building: Lot: Mix Use l Other 0 1 q - ' k c +Nr # of Stories: AKA's: Building Owner/Management: r rr Telephone Number: (7 /L) ' y _ y 4,_ Name: i FAX: Address: On Site Contact: i5 r4.j i,r""J Name: t KEE n v~N~ Telephone Number. (2(1. y y - y ;~ Building Owner Management Activities Interior Survey Performed Yes ❑ No Exterior Survey Performed ❑ Yes ❑ No General Clean Up Yes ❑ No Locations: ou a Q.. aca ACM Clean Up ❑ Yes ❑ No Locations: Air Monitoring 'Yes ❑ No Locations: Copies of All Reports and Data Requested 1 Yes

Visual Inspection Results: Facade: Inspected Debris North ❑ N/A ,~ Yes ❑ No 1Visible/Fine Layer D% to 1" 0>1" South ❑ N/A 25Yes ❑ No [✓]'No Visible/Fine Layer ❑ %2 to 1" 0>1" East ❑ N/A Yes ❑ No ❑ No Visible/Ftnetayer ❑ Y2 to l" ❑> 1" West ❑ N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer ❑ Y2 to 1" ❑>1" Facade Description:

Roof

Debris: SNo Visible /Fine Layer ❑ Y2 to 1" ❑ > 1" Description:

Setbacks N/A ❑ ~ j"~ ` ~` r Floor. r Debris: Q N& /Fine Layer ❑ "A to 1" ❑ > 1" Floor. ,7 rl 5. +"r Debris: 0 Ne" sibFe1Fine Layer ❑ % to 1" ❑ > 1" Floor: w Debris: i e. IIeibie/Fine Layer ❑ to 1" ❑ > 1" Floor. '1 'Debris: ❑ No Visible/Fine Layer ❑ % to 1" ❑ > 1" Floor. Debris: ❑ No Visible/Fine Layer ❑ Y to 1" ❑ > 1"

Comments

Date: I / ?_k /2002 Inspection Team: Name: R • F i i Z PA Rtc k. Agency: USGPA Name: r` R ttrhmvtaw Agency: M1C DEP RA NYC-WTC 000123100