Facade inspection form, 325 Broadway

NYC 9/11 Public Portal Document

WTC Visual Survey Form /d79 Premise Address:

Block: r zc I Residential D i) ommercial Name of Building: Lot: Mix UseD Other # of Stories: AKA's: 3c.. 33 go vJo4L'7J-. Building Owner,Ma gamer t: T ephone Number. (Vl ) (~ Name: '?2> - FAX: Address: 0 0 O —a v a, On Site Contact: Name: " Telephone Number. Building Owner Management Activities Interior Survey Performed HYes Q No Exterior Survey Performed Yes j] No General Clean Up ❑ Yes No Locations: G' ACM Clean Up ❑ Yes 9 No Locations: Air Monitoring ❑ Yes O No Locations: Copies of All Reports and Data Requested Yes

Visual lnsoectlon Results: Facade: Inspected Debyis North 0 N/A j es [] No J3No Visible/Fine Layer h to 1' 9>1' South ❑ N/A es r] No j10 Visible/Fine Layer 36 to 1' 0>1' East ❑ N/A J Yes D No No Visible/Fine Layer h to 1' > 1' West ❑ NIA D No QNo Visible/Fine Layer 34 to 1 ' 0>1' Facade Description:

Roof Debris: l v Visible /Fine =jhtol' . l>1' Description: i kJ

Setbacks N/A( Floor. Debris:DNo Visible/Fine Layer ❑ 34 to 1' >1' Floor.____ Debris: L] No Visible/Fine Layer % to 1' > 1' Floor.____ Debris: E] No Visible/Fine Layer 36 to 1' > 1' Floor Debris: No Visible/Fine Layer % to 1' ❑ > 1' Floor.____ Debris: [] No Visible/Fine Layer % to 1' [] > 1' Comments

Date: inspection Team: Name: Agency: / ` Name: Agency:

NYC-WTC 000122351