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← Document results/DEP Box 39/179 WEST BROADWAY; Block: 176, Lot: 17, BIN: 1001966 AKA:
Document / 4 pages

WTC Facade Inspection Form, 179 West Broadway

Machine-extracted title · confidence 95%

Form recording facade inspection results for the building at 179 West Broadway.

NYC-WTC_000109694–000109697

Folder label: “179 WEST BROADWAY; Block: 176, Lot: 17, BIN: 1001966 AKA:”

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Scanned page image, NYC-WTC_000109694
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NYC 9/11 Public Portal Document

WTC Visual Survey Form r~naiee~Address: ~ 0. n f~ i b d[MJ

ri g Residential D Commercial Nine of Building: LiVh: Mix UseD Other # of Stories: 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 D Yes

Visual Inspection Results: Facade: Inspected Debris North N/A ❑ Yes ❑ No No Visible/Fine Layer D14to1' 9>1' South g NIA DYesDNo No Visible/Fine Layer D 14 to l' 0>1' East ❑ N/A OYesDNo No Visible/Fine Layer 016 to 1' 0>1' West a N/A Yes Q No No Visible/Fine Layer ❑4to1' 0>1' Facade Description: () n

Roof

Debris: o Visible /Fine Layer .[]'K to 1' O> 1' Description:

Setbacks WA Floor Debris: No Visible/Fine Layer % to 1' >1' Floor____ Debris: No Visible/Fine Layer 14 to 1' > 1' Floor. Debris: No Visible/Fine Layer 14 to V > I' Floor____ Debris: No Visible/Fine Layer % to 1' >1' Floor Debris: No Visible/Fine Layer % to 1' >1' Comments

' / Ii 12002 Inspec Team: Name: -~'C— Agency: N Name: Agency.

NYC-WTC 000109694

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NYC-WTC_000109694Source: NYC Law Department, mirrored locally

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