WTC building inspection form for 30 West Broadway, undated

NYC 9/11 Public Portal Document

': 100 E L 1 Premise Address: J WTC Visual Survey Form rCThAMt+1 IA' I t'fl w Block: Residential 0 CommercialD Nana of Building: Lot: Mix Use ❑ Other 0 i - 1« # 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 Yes

Visual Inspection Results: Facade: Inspected Debris North ❑ N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer ❑ % to 1" D>1" South ❑ N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer ❑Mato 1" 0>1" East ❑ N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer ❑Y2to1" 0>1" West ❑ N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer Q % to 1" 0>1" Facade Description:

Roof

Debris: ❑ No Visible /Fine'Layer ❑ % to 1" .1 ; b4 ❑ > 1" I Description:

Setbacks N/A ❑ Floor: Debris: ❑ No Visible/Fine Layer ❑'A to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer ❑ % to 1" ❑ > 1" Floor: Debris: Q No Visible/Fine Layer ❑ Y2 to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer ❑ Y2 to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer ❑ a to 1" ❑ > 1"

Comments 1A,M z C cc kiv At S

Date: /x/2002 ,, Inspection Team: Name: -N1- Agency: ma c\ Name: 4 f N ki c,- i

Agency:

NYC-WTC 000109982