WTC Visual Inspection Form, 43-47 Broad Street

NYC 9/11 Public Portal Document

WTC Visual Survey Form I n0c 9 2 •7 Premise Address: T

If Block: Residential 0 Commercial Name of Building: Lot: Mix Use J Other ' s, # of Stories: AKA's: Building Owner/Management: Telephone Number: ( ) Name: T} t/ `r, 'nj FAX ( 2/Z 7 _ 53, Address: x7 3 4 -z.i é7— 740. x '3 / 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 Kesuits: Facade: Inspected Debris North ❑ N/A Yes ❑ No n

❑ No Visible/Fine Layer ❑Y2to1" 0>1" South ❑ N/A 0 Yes ❑ No Z Ne-Visible/Fine Layer ❑Y2tol" 0>1" East ❑ N/A ® Yes ❑ No No-Visible/Fine Layer ❑%2to l" 0>1" West ❑ N/A E) Yes ❑ No Ne istbleIFine Layer ❑Y:tot" 0>1" Facade Description:

Roof

Debris: ❑ No Visible /Fine Layer ( Y2 to 1" [J>1" Description: t P '"

nrz d , fc' -ndied .

Setbacks N/A z Floor. 3 Debris: ❑ No Visible/Fine Layer 181'/ to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer ❑ Y to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer ❑'/ to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer ❑ % to 1" ❑ > 1" Floor: Debris: 0 No Visible/Fine Layer ❑ Y to 1" ❑ > 1"

V- 4 Date: ❑12- 2- 2002 Inspection Team: Name: i2 R f/ Agency: $ ; Name: Agency: f .S"Il

NYC-WTC 000118622