WTC facade inspection form, 75 Broad Street

NYC 9/11 Public Portal Document

WTC Visual Survey Form (0 00 3417 Premise Address: ` Is B90 D STREET Block: Residential Commercial Name of Building: Lot: Q Mix Use Other ' — ,N elm cor'1 Eoc e h ar► e . # of Stories: 39 AKA's: Building Owner/Management Telephone Number. ( ) Name: FAX: Address: On Site Contact: Name: Telephone Number: ( ) Building Ow er Management Adtivities 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 Kesuits: Facade: Inspected Debris North ❑ N/A MYes ❑ No (~No Visible/Fine Layer ❑'/z to 1" ❑ > 1" South Q N/A Yes ❑ No E] No Visible/Fine Layer ❑ % to 1" ❑ > 1" East ❑ N/A J Yes LI No H No Visible/Fine Layer ❑ 1/ 2 to 1" ❑ > 1" West ❑ N/A „® Yes ❑ No ® No Visible/Fine Layer ❑'/z to 1" ❑ > 1" Facade Description:

Roof

Debris: ,® No Visible /in ❑'/2 to 1" [3> 1" Description:

Setbacks N/A ❑ Floor: Fitm-t ryer % to 1" [3 > 1" Floor: IT Debris: I No Visible/F-+ae-Lager '0% to 1" ❑ > 1" Floor: Debris: LI No Visible/Fine Layer ❑ % to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer ❑'/ to 1" ❑ > 1" Floor: Debris: 3 No Visible/Fine Layer ❑'/ to 1" [3 >1"

Comments

Date: 3'_i Inspection by: Name: A /LtlJffR,✓ Agency: `EP- - /2002 Name: Agency:

NYC-WTC-000118316