Facade inspection form, 335 Broadway

NYC 9/11 Public Portal Document

WTC Visual Survey Form 1 D )C ``b 3 Premise Address: Block: 3 ResidentialEl Commercial Name of Building: Lot: 3 '3 Mix UseIJ Other # of Stories: AKA's: ,Z7- 73 o Building Owner/Ma gemer)t: ,// Telephone Number ( ) r Name: D 2O L C- L `1 (2 FAX: Address: t 3 - 000 On Site Contact: Name: " Telephone Number. Building Owner Management Activities Interior Survey Performed ❑ Yes ❑ No Exterior Survey Performed ❑ YesE] No General Clean Up Yes No Locations: l /Jf/l ~ 1^ ACM Clean Up EYesHNo Locations: Air Monitoring ❑ Yes ❑ No Locations: Copies of All Reports and Data Requested Yes Visual Inspection Results: Facade: Ins cted Doris North ❑ N/A s ❑ No o Visible/Fine Layer % to? > 1' South [j A es No No Visible/Fine Layer % to 1" >1" East /A Yes No No VSible/Fine Layer % to 1w > 1w H3019 West N/A Yes ❑ No No Visible/Fine Layer Oh to 1" Facade Description:

Roof Debris: [31io Visible /Fine Description: fi

Setbacks N/A13 Floor._, Debris: D No Visible/Fine Layer 34 to 1" Floor. Debris: No Visible/Fine Layer 34 to 1w Floor Debris: No Visible/Fine Layer % to? Floor Debris:[j No Visible/Fine Layer L] 34 to V Floor_ Debris:[]No Visible/Fine Layer ❑ 34 to? Comments

Date: 4 A \\ j2002 inspection Team: Name: Agency: , Name• Agency: NTER E

NYC-WTC 000122357