WTC Facade Inspection Form, 132 West Broadway

NYC 9/11 Public Portal Document I,- .. i a. vsouaa ourvev rurm I r /-> > <2r1 Premise Address: /ta ol- Block: / Residentia Comme Name of Bu di D: Lot: Mix UseET Other 0 of Stories: AKA's: Building OwnerlManagement Telephone Number: ( ) Name: - FAX: Address: On Site Contact:- Name: ' ' ' Telephone Number. Building Owner Management Activities interior Survey Performed ❑ Yes L] No Exterior Survey Performed D Yes [3 No General Clean Up Yes No Locations: ACM Clean Up Yes No Locations: Air Monitoring YesD No Locations: Copies of All Reports and Data Roquested Yes Visual inspection Results: Facade: -: inspected Debris North NIA Yes No fl No Visible/Fine 34 to1' > >' • South NIA Y s No No Visible/Fine Layer % to1' >1' East NIA No ible/Fine Layer 34 to 1' > 1' ' . - iNest NIA Yes No No Visible/Fine Layer LayerH%10111 >1' Facade Description:

Roof Debris: _ Milo visible lFine Layer fl x to1' _ t] >!'

Setbacks WAD Floor:_ ._ Debris: No Visible/Fine Layer Ne to1' >1' Floor_ Debris: No Visible/Fine Layer % to1' > 1' Floor:_ . Debris: No Visible/Fine Layer 34 to1' >1' Floor_ Debris: No Yisible/Fine Layer % to 1' > 1' Floor__ Debris: No VisibleiFine Layer Na to1' > 1' Comments -

Data- .~_JfiOO2 inspectionTearn: Name: _L ►" `-- Agency:_______ Name: Agency TERE

NYC-WTC 000109648