Asbestos inspection form, 26 Broadway, Oct 2001

NYC 9/11 Public Portal Document

WTC Visual Survey Form R W tk 1000811 Premise Address: /_

a (, Broad

Block: 22 Residential fl Commercialfj Name of Building: Lot 13 Mix Use 1 Other ❑ # of Stories: 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 ❑ NIA ❑ Yes ❑ No ❑ No Visible/Fine Layer ❑ V to 1" 0>1" South ❑ N/A ❑ Yes ❑ No ❑ No Visibie/Fine-Layer ❑ % to 1" 0>1" East ❑ N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer ❑ % to 1" ❑ > 1" West ❑ N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer ❑ % to 1" 0>1" Facade Description:

Roof

Debris: ❑ No Visible /Fine Layer *z to 1" ❑ > 1" Description:

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

Comm

Date: /2/2002 Inspection by: Name: AP Agency: DEP Name: Agency:

NYC-WTC 000123529