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Building information form for environmental inspection

Machine-extracted title · confidence 85%

Form collecting building details and inspection history for environmental compliance review.

NYC-WTC_000118707–000118711

Folder label: “15 BROAD STREET 1078988, 26/1”

Page image
Scanned page image, NYC-WTC_000118707
OCR text

OCR status: ok · source: pdftotext

NYC 9/11 Public Portal Document

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WTC Visual Survey Form Premise A doss: b 15F-' ( 1an e PCa.c Block: f Residential 0 Commercial ❑ Name of Building: Lot: Mix Use ❑ Other ❑ # of tories: AKA's: Building Owner/ a agement: Telephone Number: ) 35 I ~3 Name: s~ l< E FAX:( ) Address: On Site Contact: Name: Telephone Number: (o2Ja) S- (O3S" 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 o Visible/Fine Layer ❑'/z to 1" ❑ > 1" South ❑ N/A 7Yes ❑ No No Visible/Fine Layer ❑'/z to 1" ❑ > 1" East ❑ N/A es ❑ No o Visible/Fine Layer ❑ Y2 to 1" ❑ > 1" West ❑ N/A tyesE] No ¶JNo Visible/Fine Layer ❑ Y2 to 1" [1> 1" Facade Description:

Roof

Debris: No Visible to 1" Description: fl ,s ' - -.. .~

Setbacks N/A ❑ Floor: Debris: ❑ No Visible/Fine Layer © '/2 to 1" ❑> 1" 1„ Floor: Debris: ❑ No Visible/Fine Layer ® '/2 to 1" ❑> 1" Floor: Debris: ❑ No Visible/Fine Layer ❑'/2 to 1" ❑> Floor: Debris: ❑ No Visible/Fine Layer ❑'/2 to 1" ❑>1" Floor: Debris: ❑ No Visible/Fine Layer ❑'/2 to 1" ❑> 1"

Comments

Date: ? / I (i /2002 Inspection by: Name n~4 !14%t?r1C`rpj aencv: "J I(i)F P NYC-WTC-000118707

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NYC-WTC_000118707Source: NYC Law Department, mirrored locally

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