Asbestos inspection form, 25 Broadway, Oct 2001

NYC 9/11 Public Portal Document

WTC Visual Survey Form • Premise Address: s y 1 // w~

Block: Residential D CommriaF I Name of Building: Lot: Mix Use ❑ Other # of Stories:i AKA's: ~„ C Building Owner anage ent: Telephone Number:;---------- Name: \~1s i FAX: ( P ~1 ._._._._._._._._._._._._._._. Address: On Site Conta :) Name: A J ~'S*$'°' Telephone Number: ( ) Building Owner Management Activities Interior Survey Performed , es ❑ No Exterior Survey PerformedTVes ❑ No General Clean Up Dies J 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 ❑ N/A ]-Yes ❑ No No Visible/Fine Layer ❑'/z to 1" ❑ > 1" South N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer ❑'/z to 1" ❑ > 1" East ❑ N/A UYes ❑ No No Visible/Fine Layer ❑ % to 1" ❑ > 1" West ❑ N/A JYes ❑ No ( No Visible/Fine Layer ❑ % to 1" ❑ > 1" Facade Description:

Roof > . •~.".,rt . Debris: o Visible /Fine 'Layer ❑ Y2 to 1" '1 ❑ I" t Description:

Setbacks N/At Floor: Debris: ❑ No Visible/Fine Layer ❑ % to 1" ❑ > 1" Floor: r Z Debris: Jo Visible/Fine Layer ❑ % to 1" ❑ > 1" Floor: Debris: El No Visible/Fine Layer ❑ % to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer ❑% to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer ❑ % to 1" ❑ > 1" Comments j -., (Lr0

Date: I //2002 Inspection Team: Name: _____________________ + Agency: Name: Agency:

NYC-WTC 000123515