WTC building inspection form, 15 Broad Street

NYC 9/11 Public Portal Document

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fl 88 Premise A 9pss: WTC Visual Survey Form (07 S9 g D E d'1GtYl e Ptac' Block: Residential Commercial El Name of Building: Lot:I Mix Use ❑ Other # of tories: AKA's: Building Owner/ a agement: Telephone Number: )L3_ I23 Name: ;,,s~ . t FAX: ( ) Address: On Site Contact: Name: o — Telephone Number: (2I ) 5 -- (03S 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 ❑ 1/2 to 1" ❑ > 1" South ❑ N/A Yes ❑ No o Visible/Fine Layer ❑ Ys to 1" ❑ > 1" East ❑ N/A EYes ❑ No o Visible/Fine Layer ❑ 1/2 to I" ❑ > 1" West ❑ N/A Yes ❑ No fl .No Visible/Fine Layer ❑'/z to 1" ❑ > 1" Facade Description:

Roof

Debris: to 1" n> 1" Description: 11t7(. t7(.Jt )n —

Setbacks N/A ❑ Floor: Debris: ❑ No Visible/Fine Layer [X]'/2 to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer E] '/Z to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer ❑ Y2 to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer ❑'/2 to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer ❑ Y2 to 1" ❑ > 1"

Comments

t`, Date: / (t /2002 Inspection by: Name: ';- rZ no { !1t i Cc T1 aencv: AJ ( NYC-WTC 000118712