WTC Facade Inspection Form, 105 Broad Street

NYC 9/11 Public Portal Document •w i vi*uiati 3urvev rourn Premise Address: Block: Residential j3 Commercial j Name of Building: Let r IMixUseDOther S of Stories: AKA's: Building OwnerfManagement: Telephone Number. ( ) Name: - FAX: Address: On Site Contact Namd: ' ' '' S Telephone Number: Building Owner Management Activities Interior Survey Performed Yes No fj Exterior Survey Performed Yes 8 No _ General Clean Up DYes 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 Debris North N/A 9 Yes No No VisibletFine Layer 9 M to1' > 1' South N/A J Yes No No VisiblefFine Layer 9 % to 1' > 1' East N/A EYes No No VisiblefFine Layer Q14 to 1' > 1' West N/A Yes No No Visible/Fine Layer Ys to 1' > 1' Facade Descripti v- j ,~ , 4 5 -ck .

Roof

Debris: No Visible /Fine Layer fl X to 1' f >1' Description•

Setbacks WAD Floor;.__ Debris: No Visible/Fine Layer Va to l' '1' Floor___ No Visible/Fine Layer K to 1' > 1' Floor:__ Debris: No Visible/Fine Layer % to 1' >V Floor:____ No VisibletFine Layer % to 1' >V Flood Debris: No Visible/Fine elFine Layer % to V >V Comments

elate: X 2002 li spection Team: Name:, Agency blame:

NYC-WTC 000118268