Asbestos inspection form, 29 Broadway, Oct 2001

NYC 9/11 Public Portal Document «v WTC Visual Survey Form (i Bide hak 2 [ Premise Address: = A ‘Ss DAE thu, 2AM YQ J levels So 4 Block: Residential[_] Commercial[] Name of Building: Lot: ( Mix Use[] Other[7] — — | # of Stories: AKA's: OK cL \—- A Nee (oe Buildin anagement: °° - Telephone Number: (212 23S ~ =75— Name: 4 ¥ ‘Wve ot Varvelas FAX: ( ) oe P Address: DANN Bw, On Site Contact: . ; Namen Wala Corveles Telephone Number: (2. )42S 24 gu —) Building Owner Management Activities Interior Survey Performed [_] Yes 5kNo Exterior Survey Performed [ ] YeSt<{No - General Clean Up Bt'Yes[]No Locations: rents dak wn ck a Air Monitoring [_] Yes ACM Clean Up Syeepte Locations:___«4 i) Visual Inspection Results: aa nN 0 ~—-_ Locations:__ RY l@K ee bare Copies of All Reports and Data Reques es Facade: Inspected Debris North PNA Cl Yes (J No ()No Visible/Fine Layer []%to1” []>1" South geen/Aens Bre LI]No o Visible/Fine Layer []%to1”" []>1”" East JRA Yes []No 0 Visible/Fine Layer []%to1" []> 1” West [JN/A Yes L_JNo TANo Visible/Fine Layer []%to1” []> Facade Description: | me ck Our, weed igi buses & ml 5 CWeew—F¥ . A ~ ; Led —_— — ( Varm, vt * uf MM Lav int. Debris: _ tai Visible iFine Layer hs tora" Toa 7 - Description‘ ™~ \ _— ‘a n wz 2. Awe SPY Vow: NN NAS, : Q Setbacks N/A[_] Floor: _§ Debris: KINo Visible/Fine Layer [[]% to 1” Cl> 1° Floor.3o Debris: [_] No Visible/Fine Layer to 1" LJ>1°" Floor: Debris: [_] No Visible/Fine Layer [_]% to 1” Cl]>1° Floor: Debris: [_| No Visible/Fine Layer [_|% to 1” LJ>1° Floor: Debris: [_] No Visible/Fine Layer [[]% to 1” Ol>1° Comments sy Liat Alama AonS oN coklaek i ya on ra. l j L L : TA apt eA SE. pA gers oat are! t aa ) i! Date: | 7 f /2002 Inspection Team: Name: AZ hat cHmenits Agency: PE Name: Agency: NYGC-WTC_000123576 23