WTC inspection form, 44 West Broadway

NYC 9/11 Public Portal Document

0

WTC Visual Survey Form Premise Address:

Block: Residential 0 Commercial Name of Building: Lot: Mix Use J Other . # of Stories: 3 AKA's: E'T Building Owner/Management: Telephone Num (Yl -) L -- c Name: r `'~ -~ v~< < L FAX: Address: On Site Contact: Name: k — Telephone Number: (Yt2) ( S_ Building Owner Management Activities Interior Survey Performed ❑ No Exterior Survey Performed [Yes Yes ❑ No •

General Clean Up es ❑ No Locations: ~~\F '~~ ACM Clean Up Yes ❑ No Locations: Air Monitoring - -Yes ❑ No Locations: Copies of All Reports and Data Reguested,jYes

Visual Inspection Results: Facade: Inspected Debris North /A ❑ Yes ❑ No ❑ No Visible/Fine Layer ❑ to 1" '/2 ❑ > 1" South /A ❑ Yes ❑ No ❑ No Visible/Fine Layer ❑'/2 to 1" ❑ > 1" East N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer ❑'/2 to 1" ❑ > 1" West N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer ❑ Y2 to 1" > 1" Facade Description: _ ~

Roof • fit . Debris: No Visible /Fine ayer ❑ /2 to 1" .1 ; ❑ > 1" 1 Description:

Setbacks N/A ❑ Floor: Debris No Visible/Fine Layer ❑%2 to 1" Floor: Debris: No Visible/Fine Layer ❑ Y2 to 1" Floor: Debris: ❑ No Visible/Fine Layer 0Y2 to 1" Floor: Debris: ❑ No Visible/Fine Layer ❑/2to1" Floor: Debris: ❑ No Visible/Fine Layer ❑ % to 1"

Comments c

Date: _/ Y~ /2002 Inspection Team: Name: = Agency: Name: Agency:

NYC-WTC 000109576