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Document / 2 pages

Asbestos inspection form, 29 Broadway, Oct 2001

Machine-extracted title · confidence 90%

Form documenting facade and roof debris inspection results for 29 Broadway following WTC collapse.

NYC-WTC_000123576–000123577

Folder label: “29 BROADWAY 1000802, 20/1

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Scanned page image, NYC-WTC_000123577
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NYC 9/11 Public Portal Document

Preibise Address: WTC Visual Survey Form ( t L -~ Block: Residential d Commercial e of Building: Lot: I Mix Use Other c ZDk 0 # of Stories: I I AKA's: ~, : L --` u k Building 0 ' / anagem t: Telephone Number: (z1 Name: t\7 \F ( Gl ~. e j G~.S 1, FAX: Address: On Site Contact: t Name: e Telephone Number: Z tZ 4 Building Owner Manageme t Activities Interior Survey Performed ❑ Yes IQ-o Exterior Survey Performed ❑ Ye No General Clean Up s ❑ No Locations: +• ACM Clean Up ❑ Yes o Locations: Air Monitoring ❑ Yes o Locations: 1 Copies of All Reports dnd Data Request es ~. Visual Inspection Results: Facade: Inspected Debris North ,, ~1/A ❑ Yes ❑ No ❑ No Visible/Fine Layer ❑ /s to 1" ❑ > 1" South I/A '' QYes ❑ No 2 No Visible/Fine Layer ❑ /a to 1" ❑ > 1" East ,2N/A Yes ❑ No „ No Visible/Fine Layer ❑'/ to 1" ❑ > 1" West ❑ N/A j Yes ❑ No No Visible/Fine Layer ❑ % to 1" Q> " Facade Description: (r~ ~ c, I c

Roof

Debris: o Visible /Fine Layer % to 1 •1 ❑>1 1 Description

5 Setbacks N/A ❑ Floor: ~ Debris No Visible/Fine Layer ❑ % to 1" ❑ > 1" Floor: _ Debris: ❑ No Visible/Fine Layer.) 4 to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer ❑'/ to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer ❑ % to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer ❑Y to 1" ❑ > 1" Comments A L c cc ~v~ ~,•. ~~ @ k /-

Date Inspection Team: Name:IL -ti- /'- i Cf'S 'tit-p,on Agency: Name: Agency:

NYC-WTC 000123577

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NYC-WTC_000123577Source: NYC Law Department, mirrored locally

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