Asbestos inspection form, 2 Broadway area, Oct 2001

NYC 9/11 Public Portal Document

WTC Visual Survey Form /0000z9 Premise Address: g $o2aRDtJA y Block: 1 Residential 0 CommercialD Name of Building: Lot: I Mix Use 0 Other # of Stories: 34- AKA's: Building Owner/Management: Telephone Number. ( ) Name: FAX: Address: On Site Contact: Name: * j 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 j J Yes

Visual Inspection Results: Facade: Inspected Debris North ❑ N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer ❑Y2to 1" 0>1" South ❑ N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer [:]%2 to 1" 0>1" East ❑ N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer ❑Y2to1*" 0>1" West ❑ N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer ❑%to1" 0>1" Facade Description:

Roof

Debris: N* Visible /Fine Layer 0 %2 to 1" ❑ > 1" Description: t..

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Setbacks N/A ❑ Floor. 24 Debris: No Visible/Fine Layer ❑ % to 1" 0>1" Floor. 34- '}— Debris: JZlNo tislble/Fine Layer ❑ % to 1" ❑>1" Floor. Debris: ❑ No Visible/Fine Layer ❑ % to 1" 0>1" Floor r

Debris: /Fine Layer ❑ % to 1" ❑>1" Floor. Debris: ❑ No Visible/Fine Layer ❑'/ to 1" ❑>1" Comments

Date: 2, / D"Z /2002 Inspection Team: Name: Rki > Agency: Name: Agency:

NYC-WTC 000123504