License agreement for debris removal, 49 Broadway, 2002

NYC 9/11 Public Portal Document

;WTC Visual Survey Form 10O ti~r~... Premise ddress:

Block: Residelitial 0 Commercial Name of Building: Lot: 1j . Mix Use D 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 ❑ Yes

visual inspection Kesults: Facade: Inspected Debris North ❑ N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer 14 to 1" ❑ > 1" South ❑ N/A ❑ Yes ❑-No []No Visible/Fine Layer '/2 to 1" ❑ > 1" East ❑ N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer '/2 to 1" ❑ > 1" West ❑ N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer '/2 to 1" ❑ > 1" Facade Description:

Roof

Debris: ❑ No Visible /Fine Layer ❑'/2 to 1" > 1" Description:

Setbacks N/A ❑ Floor: Debris: ❑ No Visible/Fine Layer ❑ Y2 to 1" [1> 1"_ Floor: Debris: ❑ No Visible/Fine Layer ❑ % to 1" [1> 1" Floor: Debris: ❑ No Visible/Fine Layer ❑'/2 to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer ❑ 1/Z to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer ❑'/ to 1" ❑ > 1"

I Comments

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Date: / /2002 Inspection by: Name: Agency: Name: Agency:

NYC-WTC 000118092