WTC building form, 305 Broadway, DEP Box 49

NYC 9/11 Public Portal Document

WTC Visual Survey Form 100t(D5 ? Premise Address: 3 5 0 7 Block: 5 Residential 0 Commerci lZ Name of Building: Lot: MixUseD Other # of S o es: AKA's: Building Owner/Management: 6v. Telephone Number (2 t2) 297 -2.,a- Name: FAX: Address: On Site Contact Name: ele hone Number. Building Owner Management Activitlis Interior Survey Performed ❑ Yes ❑ No Exterior Survey Performed Yes ❑ No General Clean Up ❑ Yes No Locations: ACM Clean Up ❑ Yes No Locations: Air Monitoring ❑ Yes 9 No Locations: Copies of All Reports and Data Requested Yes

Visual Inspection Results: Facade: Inspected Debris North South East ❑NIA ❑ NIA QN/A ❑Yes❑No DYesDNo Yes[JNo ❑ No Visible/Fine Layer ❑ No Visible/Fine Layer j0 No Visible/Fine Layer R°" 0>1" 6 to l" to 1" >1" 1"

West ❑ N/A DYesDNo I) No Visible/Fine Layer htol" ❑>1" Facade Description:

Roof Debris: No Visible /Fine Layer j] h to 1" 9>1" Description: ,

Setbacks N/A Floor. Debris: ❑ No Visible/Fine Layer L]'/ to 1" ❑ > 1" Floor. Debris: ❑ No Visible/Fine Layer ❑ % to 1" ❑ >1" Floor. Debris: [] No Visible/Fine Layer ❑ h to 1" 0>10 Floor. Floor H Debris: No Visible/Fine Layer Debris: No Visible/Fine Layer Va to 1" % to 1" H > 1" > 1"

Comments

Date: 4 I/ /2002 Inspection Team: Name: Agency: Name: Agency: ENTERED

NYC-WTC 000122449