Asbestos inspection form, 26 Broadway, Oct 2001

NYC 9/11 Public Portal Document

WTC Visual Survey Form 8t I000 811 Premise Address: / Broad u-)a q Block: 22 Residential 0 Commercial1J Name of Building: Lot: J3 Mix UseD 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 ❑ N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer ❑% to 1" 0>1" South ❑ N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer ❑%to1" 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: ❑ No Visible /Fine Layer 0>1" Description:

Setbacks N/A ❑ Floor Debris: ❑ No Visible/Fine Layer :to 1" 0>1" Floor. Debris: ❑ No VSible/Fine Layer ilk4tol" 0>1" Floor Debris: ❑ No Visible/Fine Layer to 1" 0>1" Floor Debris: ❑ No Visible/Fine Layer %tot" ❑>1" Floor Debris: ❑ No Visible/Fine Layer Y2 to 1" 0>1"

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

NYC-WTC 000123531