WTC building inspection form, 52 Broadway

NYC 9/11 Public Portal Document

WTC Visual Survey Form Prem4se Address:

Block: 22. Residential 0 Commerci Name of Building: Lot: 11 Mix Use ❑ 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 Results: Facade: Inspected De ris North ❑ N/A ❑ Yes ❑ No o Visible/Fine Layer ❑'/2to 1" 0>1" South ❑ N/A ❑ Yes ❑ No No Visible/Fine Layer ❑'/2to 1" 0>1" East ❑ N/A ❑ Yes ❑ No o Visible/Fine Layer ❑Y2 to 1" 0>1" West ❑ N/A ❑ Yes ❑ No o Visible/Fine Layer ❑Y2to1" 0>1" Facade Description:

Roof

Debris: o Visible /Fine Layer 0'/2 to 1" [1> 1" Description:

Setbacks N/A ❑ Floor: Debris: ❑ No Visible/Fine Layer ❑ Y2 to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer ❑ Y2 to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer ❑'/ to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer 0'/2 to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer ❑ Y2 to 1" ❑ > 1"

Comments

Date: / Q 1 /2002 Inspection by: Name: AP Agency: DE P Name: Agency:

NYC-WTC-000118236