Site inspection form, 55 Broad Street, unknown date

NYC 9/11 Public Portal Document

WTC Visual Survey Form Premise t:çt; ) R0(A1 Ti t= i Bloc Residential Commercial Name of Building: Lot: 1 Mix Use ❑ Other ❑ # of Stories: AKA's: Building Owner/Management: Telephone Number: ( ) 3f (-- o a Name: C ='!'~ i✓N 7 L & FAX: TO ( ) Address: On Site Conta t: - uOL . ci Name: Telephone Number: (, )) & Building Owner Management Activities Interior Survey Performed ❑ Yes ❑ No Exterior Survey Performed ❑ Yes ❑ No General Clean Up Yes ❑ No Locations: y'\ ACM Clean Up El Yes ❑ No Locations: Air Monitoring ❑ Yes ❑ No Locations: Copies of All Reports and Data Requested -6 s i Visual Inspection Results: Facade: Inspected Debris North ❑ N/A es ❑ No No Visible/Fine Layer ❑'/z to 1" ❑ > 1" South ❑ N/A Yes ❑ No No Visible/Fine Layer El 1/z to 1" ❑ > 1" East ❑ N/A yes ❑ No 'f No Visible/Fine Layer El 1/2 to 1" ❑ > 1" West ❑ N/A YesElNo o Visible/Fine Layer ❑'/z to 1" ❑ > 1" Facade Description:

Roof

Debris: o, isib {Fine Layer '/z to 1" ❑ > 1" Description: 1 tt ~l ct' C t~(? @ CA-tn . (4(.) ( s f k. ,

Setbacks N/A ❑ Floor: Debris:'F3No Visible/Fine J..yer ❑ % to 1" ❑ > 1" , Floor: J Debris: ❑ No Visible/ me Layer ❑'/z to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer El 1/2 to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer El 1/2 to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer ❑ % to 1" ❑ > 1"

Comments

Date: 2 / 1 /2002 Inspection by: Name: Q \ 4a (&,f Agency: Name: Agency:

NYC-WTC-000118435