WTC Facade Inspection Form, 135 West Broadway

NYC 9/11 Public Portal Document

WTC Visual Survey Form I DC) I b(2 Premise Address: 1:35- w r fl d / Block: Residential El Commercial 0 Name of Building: Lot: Mix Use Other ❑ # of Sto es: v AKA's: Building Owner/Management: Telephone Number ( ) Name: FAX: ( ) Address: On Site Contact Name: 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 ER N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer ❑ % to 1" []>i" South ®N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer ❑ % to 1" 0>1" East ❑ N/A ® Yes ❑ No ®No Visible/Fieae yer ❑ % to 1" ❑ > 1" West ❑ N/A [0 Yes ❑ No ® No Visible/der ❑ % to 1" ❑ > 1" Facade Description:

Roof

Debris: 'No Visible ❑ Y2 to 1" 0>1" Description: T,.c~oec ,v,.K i,_)2 gal-g yaa~~{~.✓a-y

Setbacks N/A (1 Floor. Debris: ❑ No Visible/Fine Layer ❑ V 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 ❑ % to 1" ❑ > 1" Floor. Debris: ❑ No Visible/Fine Layer ❑ /2 to 1" ❑ > 1" Comments

Date: 4 / [1 /2002 Inspection by: Name: R ' i i*- Ohat..t Agency: D&P. ENTERED Name: Agency:

NYC-WTC 000109654