WTC facade inspection form, 43-47 Broad Street, undated

NYC 9/11 Public Portal Document

WTC Visual Survey Form I 000

z 2 'U. Premise Address: Block: Residential 0 Commercial Name of Building: Lot: Mix Use 0 Other # of Stories: AKA's: a vr. •¢• Building Owner/Manage ent: Telephone Number: ) Name: 7 tViV, €, FAX: 2/2- 7_53' Address: xT/ 3 o11 -o. C-acr On Site Contact: Name: sr 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 Re uested Yes

visual inspection Kesults: Facade: Inspected Debris North ❑ N/A Yes ❑ No ❑ No Visible/Fine Layer Ej '/2 to 1" South ❑ N/A ( Yes ❑ No n No-Visibte/Fine Layer [J 1/2 to 1" East ❑ N/A ❑ Yes O No /Fine Layer ❑ % to 1" West ❑ N/A J Yes ❑ No N i /Fine Layer ❑ % to 1" Facade Description:

Roof

Debris: ❑ No Visible /Fine Layer ( '/z to 1" ❑ > 1" Description:

Setbacks N/A R] Floor 3 Debris: ❑ No Visible/Fine Layer ( '/ to 1" 0>1" Floor: Debris: ❑ No Visible/Fine Layer ❑%to 1" 0>1" Floor: Debris: ❑ No Visible/Fine Layer ❑%to1" 0>1" Floor: Debris: ❑ No Visible/Fine Layer ❑%to 1" 0>1" Floor: Debris: ❑ No Visible/Fine Layer ❑%to l" 0>1"

Date: 2 / 22--/2002 Inspection Team: Name: iR' R/I- '//' N Agency: iVyC D a Name: Agency: Dcl. Yet ff g 1 Ob err fM.4

NYC-WTC 000118604