Asbestos inspection form, 26 Broadway, Oct 2001

NYC 9/11 Public Portal Document

WTC Visual Survey Form Premise Address: 2 Block: Residential 0 Commercial Name of Building: Lot: Mix Use Other # of Stories: 3o AKA's: 73—s I NC.14 -S'TRCET — ! $ 6 -h/ER SgRee-r Building Owner/Management: Telephone Number ( ) Name: N Tt?-uT' oN 6,4 So . FAX: Address: Q 6 oi9j Avg ae On Site Contact: Name: Gpye. pj cone Telephone Number: Building Own r 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 ❑ N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer ❑ V2 to 1" 0>1" South ❑ N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer ❑ % to 1" ❑>1" East ❑ N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer ❑ Va to 1" 0>1" West ❑ N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer ❑ Va to 1" ❑>1" Facade Description:

Roof

Debris: . ~( No Visible /Fine Layer ❑ V to 1" 0>1" Description: -Pov a ov

Setbacks N/A ❑ Floor 2.2 Debris: No Visible/ ejer ❑'/ to 1" Floor. Debris: No Visible/F dyer ❑ Y to 1" Floor. Debris: No Visible/F er ❑ Y to 1" Floor. 10 Debris: No Visible/F=ine Layer ❑ V to 1" Floor. 4,2 Debris: No Visible/wise-bayer ❑ % to 1"

Comments

Date: 02 002 Inspection Team: Name: . Ffti-0 off Agency: / Name: Agency: ENTERED

NYC-WTC 000123530