WTC building survey form, 321 Broadway, 2001

NYC 9/11 Public Portal Document

WTC Visual Survey Form loo Premise Address: ,

Block: 1S Residential ZJ Commercial D Name of Building: Lot: '7 0 I Mix Use Other # of Stories: AKA's: Building Owner/Mana ement: Tet phone Number. ( ) Name: 3( C . Gfo (S V1e ( FAX: Address: ECo( 5 Lo - l On Site Contact: Name: " • Telephone Number. Building Owner Management Activities Interior Survey Performed ❑ Yes Q No Exterior Survey Performed ❑ Yes ❑ No General Clean Up ❑ Yes ❑ No Locations: //h 14MJv ACM Clean Up ❑ Yes ❑ No Locations: Air Monitoring ❑ Yes[] No Locations: Copies of All Reports and Data Requested 9 Yes

visual insDecvon Results: Facade: Inspected Debris North O N/A D Yes ❑ No ❑ No Visible/Fine Layer D4 to 1" ❑ >V South 9 N/A Yes ❑ No ❑ oVisible/Fine Layer ❑ 34 to 1" 0>1" East ❑ N/A 1"Yes ❑ No o Visible/Fine Layer 036 to 1" ❑ > 1" West ❑ N/A Mes ❑ No [3No Visible/Fine Layer ❑ i4 to 1" ❑ > 1" Facade Description:

Roof Debris: D No Visible /Fine Layer ❑ % to 1" ❑ > 1" Description: , > h e.diA L-vv IQ(

Setbacks N/A[] Floor. Debris: No Visible/Fine Layer 93 to 1" 0>1' Floor Debris: No Visible/Fine Layer ❑ % to 1" ❑ > 1" Floor. Debris: No Visible/Fine Layer ❑ h to 1" > 1" Floor. Debris: 9 No Visible/Fine Layer ❑ % to 1" ❑ > 1" Floor. Debris: 0 No Visible/Fine Layer ❑ h to 1" 0>1' Comments

Date: c 1(1 12002 Inspection Team: Name: C,- i I I Agency: Name: Agency: ~~ 3 1N

NYC-WTC 000122354