WTC Site Record, 43-47 Broad Street

NYC 9/11 Public Portal Document

WTC Visual Survey Form Premise ddres : 4T2 t47_ 1fc ) S -I Block: Residential fl Commercial 0 Name of Building: Lot: Mix Use ❑ Other ❑ # 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 L Tt iC) , J l L A) b C C C. 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 ❑'h to 1" ❑ > 1" South ❑ N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer ❑'/ to 1" ❑ > 1" East ❑ N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer ❑'/2 to 1" ❑ > 1" West ❑ N/A Yes ❑ No ❑ No Visible/Fine Layer '/z to 1" ❑ > 1" Facade Description:

Roof

Debris: ❑ No Visible /Fine Layer '/2 to 1" ❑> 1" Descrir

Setbacks N/A Floor: a

Debris: ❑ No Visible/Fine Layer ❑ % to 1" Floor: Debris: ❑ No Visible/Fine Layer ❑'/ to 1" Floor: Debris: ❑ No Visible/Fine Layer ❑'/z to 1" Floor: Debris: ❑ No Visible/Fine Layer ❑''/ to 1" Floor: Debris: ❑ No Visible/Fine Layer ❑ % to 1"

Comments

Date: ; / /2002 Inspection by: Name: 1Q\ u Agency: Name: Agency:

NYC-WTC-000118621