WTC facade inspection form, 159 Broadway, Block 74 Lot 1

NYC 9/11 Public Portal Document

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Premise Address:. - WTC Visual Survey F t -~ ~G, A A c~ -

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Block: Residential Commercial N me of Building: Lot: Mix Use Other # of Stories: AKA's: $ l - i b ad. - t $ i (:-'- 9r q1 w~ ~.- Bufiding Owner/Management Telephone Number. ( p Name: ~.t ~vL€. ~~~,, FAX: Address: On Site Contact Name: ' ' .' ' Telephone Number. Building Owner Management Activities Interior Survey Performed ❑ Yes Q No Exterior Survey Performed ]~Yes[]No General Clean Up ❑ Yes ❑ No Locations: ACM Clean Up ❑ Yes ❑ No Locations: Air Monitoring j] Yes j] No Locations: Copies of All Reports and Data Requested Yes Visual inspection Results:

Inspected Debris North j] N/A ❑ Yes O No ❑ No Visible/Fine Layer =] % to 1' 9> 1" South D N/A Yes No 0 No Visible/Fine Layer D 3~4 to 1' 0>1' East ❑ NIA Yes No [] No Vsible/Fine Layer [] h to 1" 0>1' West DNIA 9 Yes ❑ No 0 No Visible/Fine Layer ~] 3/ to 1' Facade Description: (Q J) JJ > 1'

Roof Debris: o Visible /Fine Layer j] 3~4 to 1' 9>1' Description:

Setbacks NIA Floor. Debris:DNo Visible/Fine Layer j] 34 to 1' >1' Floor. Debris: j] No Visible/Fine Layer j] 4 to V >1' Floor.____ Debris: ❑ No Visible/Fine Layer 3+4 to 1' >1' Floor____ Debris: j] No Visible/Fine Layer % to V >1' Floor Debris: L] No Visible/Fine Layer 34 to 1' >1' Commen s

Date: ,/__2r1002 Inspection Team: Name: Agency: _____,_ Name: Agency:

NYC-WTC 000117088