WTC environmental inspection form, 11 East Broadway, 2002

NYC 9/11 Public Portal Document

L WTC Visual Survey Form /00 Q Pr*m!se Address:

Block: I Residential TI Commercial D Name o wilding: Lot: Mix Us Other # of Stores: 1 I AKA's: - ,4 - O Building Owner!Management Te a hone Number. ( ) Name: Lc) FAX: Address: . 2( /\.) t.. / )\J\]'. /0 On Site Contact Name: " ' M,- . • 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 ❑'atol' 0>1" East ❑ N/A ❑ Yes ❑ No No Visible/Fine Layer ❑htol' 0>1" West ❑ N/A ❑ Yes ❑ No 10 Visible/Fine Layer ❑Mato 1" 0>1" Facade Description: rg D _

Debris: No Visible /Fine Layer .❑ h to 1" 0>1" Description:

Setbacks N/A ❑ Floor Debris: ❑ No Visible/Fine Layer ❑ % to 1" 0>1' Floor Debris: ❑ No Visible/Fine Layer ❑ Via to 1' 0>1' Floor Debris: ❑ No Visible/Fine Layer ❑ a to 1" ❑ > 1' Floor Debris: 0 No Visible/Fine Layer ❑ h to 1" ❑ > 1" Floor Debris: 0 No Visible/Fine Layer OVa to 1' ❑ > 1'

Comments

Date: 12002 Inspection Team: Name: Agency. Name: Agency: ~1TEREO

NYC-WTC 000130920