Document label, 70 Broad Street

NYC 9/11 Public Portal Document

WTC Visual Survev Form ' Premise Address: 7a f / /1D S,r R 7" Block: 11 Residential Commercial Name of Building: Lot: I Mix Use ❑ Other ❑ ` -- W / 1 S-TR ~7 Wks # of St vies: 5 AKA's: Building Owner/Management: td,,~..,, pvh Telephone Number: (-Z1z,,.) qzr_ ai, is-- Name: FAX: ( ) Address: On Site Contact: Name: A) ~ f Telephone Number: ( ) 7 g '7-7010 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 Kesults: Facade: Inspected Debris North ❑ N/A Yes ❑ No 2 No Visible/Fine Layer ❑'/ to 1" ❑ > 1" South 0 N/A Yes ❑ No ❑ No Visible/Fine Layer ❑'/ to 1" ❑ > 1" East ❑ N/A f Yes ® No Visible/Fine Layer ❑'/ to 1" ❑ > 1" West ❑ N/A j' Yes ❑ No No Visible/Fine Layer ❑ 1/ to 1" ❑ > 1" Facade Description:

Roof

Debris: [KNo Visible /F4rie±ayer ❑'% to 1" 0>10 Description:

Setbacks N/A P9 Floor: Debris: ❑ No Visible/Fine Layer ❑ '/2 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 ❑ 1/2 to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer ❑ 1/ 2 to 1" ❑ > 1"

I Comments

Date: 3 /4/ 002 Inspection by: Name: Rf &A-MMQHA1'1 Agency: rue DE P Name: Agency:

NYC-WTC-000118306