WTC building inspection form, 55 Broadway

NYC 9/11 Public Portal Document

WTC Visual Survev Form Premise Address: rr

Block: Residential 0 Commer ' Name of Bpilding: Lot: Mix Use ❑ Other \ # of Stories: AKA's: BuildingOwner/Manag ent J Telephone Number: (z- .~f Name: Cc / FAX: ( ) Address: On Site Conta Name: `na ~„ `- 'D Telephone Number: ( ) Building Owner Management Activities Interior Survey Performed EYes ❑ No Exterior Survey Performed f Yes ❑ No jj j ~~ • C;-. General Clean Up ❑ Yes ACM Clean Up ❑ Yes allo o Locations: Locations: I Air Monitoring j~Xes ❑ No Locations: Copies of All Reports and Data Requested es Visual Inspection Results: Facade: Inspected D bris North ❑N/A esONo No Visible/Fine Layer ❑ Y2 to 1" ❑ > 1" ❑ N/A South East West ❑N/A ❑ N/A 'Yes ❑ No f YesDNo Yes ❑ No KINo Visible/Fine Layer No Visible/Fine Layer No Visible/Fine Layer ❑'/2 ❑

❑ to 1" Y2 to 1"

Y2 to 1" ❑ > 1" ❑ > 1" ❑ > 1" Facade Description:

Roof

Debris: o Visible /Fine aver ❑'/ to 1" 1 ' (l > 1" 1 t~'~

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

Comments

Date: ) _/ /2002 _•c t Inspection Team: Name: k cgency: t ~ '~ Name: _ Agency:

NYC-WTC- 000118244