WTC facade inspection form, 75 Broad Street

NYC 9/11 Public Portal Document

•

WTC Visual Survev Form Premise Address: 7s_ 7~a tl cr '+2 " Block: Residential D CommerciailJ Name of Building: Lot: Mix UseD Otherfl # 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 ❑ Yes ❑ No Locations: Copies of All Reports and Data Requested DYes

visual inspection Kesults: Facade: Inspected Debris North ❑ N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer ❑ Y2 to 1" 0>1" South ❑ N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer ❑'h to 1" ❑ > 1" East ❑ N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer ❑ Y2 to 1" 0>1" West ❑ N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer ❑ % to l" 0>1" Facade Description:

Roof

Debris: No Visible ❑ Y% to 1" 0>1" Description:

Setbacks N/Az Floor. 23 r`/ Debris: 0 No Visib ❑ Y2 to 1" ❑ > 1" Floor. Debris: No Visible/Fine Layer ❑ V. to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer ❑ Y2 to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer ❑ % to 1" ❑ > 1" Floor. Debris: 0 No Visible/Fine Layer ❑ % to 1" ❑ > 1"

Comments c/ a.

Date: 3 /' 2002 Inspection Team: Name: cj/ftn/ Agency: P. Name: Agency:

NYC-WTC-000118315