WTC Visual Inspection Form, 15 Broad Street

NYC 9/11 Public Portal Document

WTC Visual Survey Form Premise Address• t, <-1E'_" Block: Residential 0 Commercial 0 Name of Building: Lot: I Mix Use Other ❑ # of Stories: AKA's: Building Owner/Management: Telephone Number: (` ) - Name ,~ c ' FAX ( ) Address: On Site Contact: Name: - Telephone Number: (Tiz- )2 tt 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 J es ❑ No No Visible/Fine Layer ❑ % to 1" £1> 1" South ❑ N/A es ❑ No No Visible/Fine Layer ❑'/ to 1" ❑ > 1" East ❑ N/A BYes ❑ No No Visible/Fine Layer ❑'/z to 1" ❑ > 1" West ❑ N/A les ❑ No LNo Visible/Fine Layer ❑'/z to 1" ❑ > 1" Facade Description:

Roof

Debris: No Visible /Fine Layer I'/ to 1" ❑ > 1" Descnption 1 Eta I L..e 5 - L NTi tL e aoc O -C U c-► P r

Setbacks N/A ❑ Floor: Debris: ❑ No Visible/Fine Layer ❑'/ to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer ❑'/ to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer ❑'/ to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer 0'/2 to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer ❑ 1/2 to 1" ❑ > 1" Comments

Date: `L / ~ '/2002 Inspection by: Name: Agency: IV (~ Name: Agency:

NYC-WTC-000118693