WTC facade inspection form, 85 Broad Street

NYC 9/11 Public Portal Document

##1 WTC Visual Survey Form Premise Address: '9 0 s's - C Blt)ck: Residential 0 CommerciaiJ Name of Bu ding: Lot: Mix Use J 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 0 Yes ❑ No Locations: Copies of All Reports and Data Requested D Yes

visual inspection Results: Facade: Inspected Debris North ❑ N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer ❑ % to l" ❑ > 1" South ❑ N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer ❑ Y to 1" D>1 East ❑ N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer ❑ Va to 1" ❑ > 1" West ❑ N/A ❑ Yes Q No ❑ No Visible/Fine Layer ❑ V: to 1" ❑ > 1" Facade Description: It LQ CJ 0

Roof

Debris: o Visible /Fine Layer s to 1" ❑ > 10 Description: r o N 'I S m ""

Setbacks N/A Floor: Debris: ❑ No Visible/Fine Layer 0 6 to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer ❑ h 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 ❑ % to 1" 0> 1" Comments tr

Date: 4/ 11- /2002 Inspection Team: Name: Name: Agency: Agency: __________

NYC-WTC 000118296