WTC building inspection form, visual facade assessment, 299 Broadway

NYC 9/11 Public Portal Document WTG Yisual Survey Form //)1/ l~ cJ 4 Premise Address: .~ - 1g JR OW!Y Block: (50 ResidentialD CommerciaiJ Name of Building: Lot: Mix UseD Other # of tortes: J AKA's: Building Owner/Management: Telephone Number. Name: FAX: Address: On Site Contact Name: ' ' Telephone Number Building Owner Management Ac sties Interior Survey Performed ❑ Yes ❑ No Exterior Survey Performed ❑ Yes ❑ No General Clean Up ❑ Yes No Locations: ACM Clean Up ❑ Yes g No Locations: Air Monitoring 0 Yes ❑ No Locations: Copies of All Reports and Data Requested j j Yes

visual inspection Results: Facade: Inspected Debris North South East N/A N/A 6N/A D Yes 0 No Yes Q No Yes ❑ No No Visible/Fine Layer g No ViSible/Fine Layer ,0No VisibieIFine-Layer ❑ % to? ❑ 4 to 1" ❑ r6 to 1" 0>1" 0>1" 9>1" West NIA ~[] Yes ❑ No Q No Visible/Fine Layer ❑ /a to 1" ❑ > 1" Facade Description:

l Roof

Debris: 0 No Visible /Fine Layer ❑ % to 1" 0>1" Description: n ~.c~c,~ C n -OA

Setbacks N/AJ Floor. Debris: ❑ No Visible/Fine Layer 034 to 1" 0>1" Floor. Debris: ❑ No Visible/Fine Layer ❑ 4 to 1" 0>1" Floor. Debris: ❑ No Visible/Fine Layer ❑ Y to V 0>1" Floor. Debris: [] No Visible/Fine Layer ❑ % to 1" 0>1" Floor Debris: Q No Visible/Fine Layer 014 to 1" 0>1" Comments

Date: x/_/2002 inspection Team: Name: [_ _ Agency: Name: Agency: E& N T E R

NYC-WTC 000122442