DEP file cover sheet for 233 Broadway, WTC environmental records

NYC 9/11 Public Portal Document

WTC Visual Survey Form Premise Address:

Block: ResidentialD Commercial I E Name of Building: Lot: °_ r - Mix Use 0 OthertJ # of Stories: AKA's: - '-° a- - - PL, — Building Owner/Manag ment: Telephone Number. ( ) Name: LL.C, FAX: Address: o On Site Contact Name: * * Telephone Number: Building Owner Management Activities Interior Survey Performed ❑ Yes ❑ No Exterior Survey Performed Yes ❑ No General Clean Up ❑ Yes $No Locations: ACM Clean Up ❑Yes ❑ No Locations: Air Monitoring D YesD No Locations: Copies of All Reports and Data Requested D Yes

Visual Inspection Results: Facade: Inspected Debris North L] N/A ❑ Yes [] No ❑ No VisiblefFine Layer D Iz to 1" 0 > 1" South East West ❑N/A ❑ N/A 0 N/A []Yes0No OVesONo L] Yes 0 No R No Vsible/Fine Layer Dl6tol" No Vsible/Fine Layer D'/ to l" ❑ No Visible/Fine Layer L]h to V 0>1" H > I" L] > 1" Facade Description:

Roof Debris: 0 No Visible /Fine Layer L] $6 to 1"

Setbacks N/AL] Floor. Debris: No Visible/Fine Layer ❑ 14 to V D> 1" Floor.____ Debris: No Visible/Fine Layer 014 to V 0>1" Floor._„_ Debris: No Visible/Fine Layer h to V ❑ >V Floor. Floor. Debris: jj No Visible/Fine Layer Debris: No Visible/Fine Layer h to 1" % to 1" 82010 > 1"

Comments

Date: !~y 12OQ2 Inspection Team: Name: Agency: Name: cy:

NYC-WTC 000123489