WTC building inspection form, 50 Broadway

NYC 9/11 Public Portal Document

WTC Visual Survey Form Premise Address:

Block: Residential D Commercia Name of Building: Lot: Mix Use ❑ Other # of Stories• AKA's: Building Owne /Management: Telephone Number: ( ) Name: FAX: ( ) Address: On Site Contact ~ '' r Name: CV t '( " 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 Kesuits: Facade: In ected Debris North ❑ N/A es ❑ No ❑ No Visible/Fine Layer '/z to 1" ❑ > 1" South ❑ N/A es ❑ No ❑ No Visible/Fine Layer Yz to 1" ❑ > 1" East ❑ N/A Yes ❑ No ❑ No Visible/Fine Layer YZ to 1" ❑ > 1" West ❑ N/A -es ❑ No ❑ No Visible/Fine Layer L to 1" ❑ > 1" Facade Description:

Roof

Debris: ❑ No Visible /Fine Layer /z to 1" •1 ~"'~ ❑ > 1" "1 '"~`'~ Description:

Setbacks N/A ❑ 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 ❑ Y2 to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer 0 % to 1" ❑ > 1"

Comments

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Name: Agency:

NYC-WTC-000118169