WTC inspection form, 44 West Broadway

NYC 9/11 Public Portal Document

J WTC Visual Survey Form `'remise Address: c - <

Block: Residential D CommerciaTO Name of Building: Lot: Mix Use El Other # of Stories: tk AKA's: Building Owner/Management: Telephone Number: ( ) Name: e44 4- FAX: Address: On Site Contact: Name: C*k ^-r —3 ~Zi C— ^^ Cam► g~NK~-~~L-2 Telephone Number: (& ) £ o& s - ? Building Owner Management Activities Interior Survey Performed ❑ Yes ❑ No Exterior Survey Performed ❑ Yes ❑ No h ~~— General Clean Up ❑ Yes ❑ No Locations: ~~ ~ t ACM Clean Up ❑ Yes ❑ No Locations: Air Monitoring ❑ Yes ❑ No Locations: Copies of All Reports and Data Requested Q Yes

Visual Inspection K@sults: Facade: Inspected Debris North ❑ N/A © Yes ❑ No ❑ No Visible/Fine Layer ❑%to1" 0>1- South ❑ N/A 0 Yes ❑ No ❑ No Visible/Fine Layer E)'/ to 1" 0>1" East ❑ N/A Q Yes ❑ No ❑ No Visible/Fine Layer ❑Mato 1" 0>1" West ❑ N/A Yes ❑ No ❑ No Visible/Fine Layer ❑%to 1" 0>1" Facade Description: "CL-" e4i

Roof ~yyti Debris: ❑ No Visible /Fine Layer ❑ % to 1" •1 -~'"'~ ❑ > 1" I Description:

Setbacks N/A ❑ Floor: Debris: ❑ No Visible/Fine Layer ❑ V to 1" ❑ > 1" Floor: Debris: 0 No Visible/Fine Layer 0V to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer ❑ Y2 to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer 0V to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer ❑ Y2 to 1" ❑ > 1"

Date: _ b 1 /27/2002 Inspection Team: Name: A- Agency: Name: Hi Ott Agency:

NYC-WTC 000109577