WTC building survey form, 317 Broadway, 2001

NYC 9/11 Public Portal Document

WTC Visual Survey Form /Odf&f5( Promise Address: Block: Residential jJ Commercial Name of Buiidi~gle ttt`"'~~ d 4 Lot: # of Stories: Mix Use AKA's: 6 Lo Building Owner nagement Other - jk101 .4 . ,,i Telephone Number: { Name: Ca c~ L V' FAX:( Address: 1 On Site Contact: Name: ' ' Telephone Number. Building Owner Management Activities Interior Survey Performed Yes Q No Exterior Survey Performed H Yes 0 No General Clean Up ❑ Yes No Locations: U 1k ACM Clean Up ❑ Yes g No Locations: Air Monitoring ❑ Yes j] No Locations: Copies of All Reports and Data Requested J Yes

Visual insuection Results: Facade: Inspected De s North [cal/A Ds ❑ No No Visible/Fine Layer > i" South [3'N/A Yes No Visible/Fine Layer H %to1" 34to1v >1" East ❑ N/A es No j3No Visible/Fine Layer htol" []>1" West L3IJ/A Yes No O No Visible/Fine Layer h to 1" 9>? Facade Description:

Roof Debris: 'No Visible /Fine Layer 0 4 to? [] > 1" Description:

Setbacks N/A~ Floor.___ Debris: No Visible/Fine Layer 34 to 1" 9> 1" Floor.____ Debris: No Visible/Fine Layer 34 to? > 1" Floor_ Debris: No Visible/Fine Layer % to? > 1" Floor____ Debris: No Visible/Fine Layer % to 1" >1" Floor Debris: No Visible/Fine Layer 34 to? 8301 "

Comments

Date: </ 2002 Inspection Team: Name: Agency: Name: ti4ihi Agency:

NYC-WTC 000122345