WTC facade inspection form, 80 Broad Street

NYC 9/11 Public Portal Document

WTC Visual Survey Form Prnis, Address: (` - -- Block: Residential 0 Commercial D Name of Building: Lot: Mix UseD Other # of Stories: AKA's: Building ownerlManagement: Telephone Number: ( ) Name: FAX: Address: On Site Contact: Name: ' Telephone Number: Building Owner Management Activities Interior Survey Performed 0 Yes J No Exterior Survey Performed ❑Yes J No General Clean Up 0 Yes 0 No Locations: ACM Clean Up 0 Yes 0 No Locations: Air Monitoring 0 Yes 0 No Locations: Copies of All Reports and Data Requested DYes

Visual Inspection Results: Facade: Inspected Debris North ❑ N/A 0 Yes 0 No ❑ No Visible/Fine Layer 0 /2 to 1 " 0 >1" South 0 N/A 0 Yes 0 No ❑ No Visible/Fine Layer ❑%to1" 0>1" East 0 N/A 0 Yes 0 No O No Visible/Fine Layer 0 % to 1 " 0 >1"

West ❑N/A ❑YesDNo ❑ No Visible/Fine Layer ❑%to1" 0>1" Facade Description:

Roof

Debris: Jo Visible /Fine Layer ❑ /: to 1' 0> 1 V

Description:

Setbacks N/A ❑ CLp _ c N Floor. Debris: 0 No Visib ne Layer ❑% to 1" ❑ > 1" Floor. Debris: 0 No Visible/Fine Layer ❑ % to V ❑ > 1" Floor: Debris: 0 No Visible/Fine Layer ❑ Ya to 1" ❑ > 1" Floor Debris: 0 No Visible/Fine Layer ❑% to 1" F]> 1" Floor. Debris: 0 No Visible/Fine Layer ❑ i4 to 1" 0>- V Comments

Date: Inspection Team: Name: ry `~ Agency: Name: Agency:

NYC-WTC 000118302