Facade inspection form, 319 Broadway

NYC 9/11 Public Portal Document lD '/ . WTC Visual Survev Form /0.01 ii Premise Address:

Block: Residential mmercarL3 Name of Building: Lot: 1 Mix UseiJ Other # of Stories: AKA's: 7,ctS — ct Buildi Owner/Ma gement: Telephone u r { ) Name: r, AX: Address: .-

i

On Site Contact Name: te1ephone Number. Building Owner Management Activities Interior Survey Performed ❑ Yes Q No Exterior Survey Performed Yes 9 No d a

General Clean Up Yes No Locations: K t-VL 9I ACM Clean Up g Yes 9 No Locations: Air Monitoring ❑ Yes 9 No Locations: Copies of All Reports and Data Requested J Yes

Visual Inspection Results: Facade: / Inspected Debris North Q'N/A 0 Yes Q No 9 No Visible/Fine Layer % to 1" > 1" South ❑ N/A s ❑ No No Visible/Fine Layer % to? East ❑ N/A es Q No l No Visible/Fine Layer h to 1" 9>1" West ❑ N/A es 0 No J3No Visible/Fine Layer 34 to 1" 0>1" Facade Description:

Roof Debris: Description: Do Visible /Fine Layer 934 to 1" 9>?

Setbacks N/A 3' Floor___ Debris: 9 No Visible/Fine Layer % to 1" 0>1' Floor, Debris: No Visible/Fine Layer 34 to 1" >1' Floor. Debris: No Visible/Fine Layer % to 1" 831, 1w Floor____ Debris: No Visible/Fine Layer 3 4tto 1" >1" Floor. Debris: No Visible/Fine Layer % to 1" >1' Comments

Date: '-1 /_!4I 2 Inspection Team: Name: Agency: VC4 Name:

NYC-WTC-000122348