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

NYC 9/11 Public Portal Document

WTC Visual Survey Form Premise Address: Block: Residential 0 CommercF Name of Building: Lot: Mix Use 0 Other p CMG a

# 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 Yes

Visual Inspection Results: Facade: Inspected Debris North ❑ N/A ❑Yes❑No ❑ No Visible/Fine Layer ❑ Y2 to 1" ❑ > 1" South ❑ N/A ❑Yes❑No ❑ No Visible/Fine Layer ❑ Y2 to 1" ❑ > 1" East ❑ N/A ❑Y s❑No ❑ No Visible/Fine Layer ❑ Y2 to 1" ❑ > 1" West ❑ N/A es❑No No Visible/Fine Layer ❑ Y2 to 1" ❑ > 1" Facade Description:

Roof

Debris: o Visible /Fine Layer Ya to 1" `' - 0>10 Description: A

Setbacks NIA ❑ Floor: Debris: ❑ No Visible/Fine Layer 0 Y to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer ❑'/ to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer ❑ Y2 to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer ❑ Y2 to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer ❑ % to 1" ❑ > 1"

Comments T

Date: u / / "/2002 Inspection Team: Name: `-- -'

' "

h Agency: Name: Agency:

NYC-WTC-000118612