DEP document excerpt, 225 Broadway, 2002

NYC 9/11 Public Portal Document

WTC Visual Survey Form 10 6 t 2J Premise Address: c Block: Residential D Commercial Name of Building: Lot: I Mix Use Other # of Sto tes: AKA's: Building Owner/Management: Telephone Number: ( ) Name: FAX: ( ) Address: 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 ❑ Yes ❑ No Locations: Copies of All Reports and Data Requested Yes

visual inspection Results: Facade: Inspected Debris North j] N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer ❑Y2 to 1" 0>1" South ❑ N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer ❑'/ato1" 0>1" East ❑ N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer ❑'/2 to 1" 0>1" West ❑ NIA ❑ Yes ❑ No ❑ No Visible/Fine Layer ❑Yto1" 0>1" Facade Description:

Roof

Debris: 0 No Visible /Fine tayer ❑'/2 to 1" 1~'~' ❑ > 1" / Description:

Setbacks N/A ❑ Floor: Debris: ❑ No Visible/Fine Layer ❑ Va to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer ❑ % to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer ❑ /2 to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer ❑ % to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer ❑ % to 1" ❑ > 1"

Comments i)e~i if

Date: I/ 2P /2002 inspection Team: Name: Agency:U.S. IPA Name: Agency:

NYC-WTC 000123492