WTC environmental inspection form, 177 Broadway, undated

NYC 9/11 Public Portal Document

•_: _ S i b 63 WTC Visual Survey JFOcm c'r7 ' r Premle ldr t S ~3^o,.o~w,rh p Z Cuv Block I Residential D Com er ' Na a of Building: Lot: Mix Use Other ~vY vr+~d # of S or es: 6 AKA's: Building Owner/Management Telephone Number. (v. z. ) a - - Name: FAX: Address: On Site Cont Name: !?4-SoW J !v l(,4 Srevn'{ rf r. Telephone Number. it Z. Building Owner Management Activities Interior Survey Performed ❑ Yes No Exterior Survey Performed ❑ Yes []No General Clean Up J Yes ❑ No Locations: fir . c,.(. ACM Clean Up DYes ® No Locations: Air Monitoring j9 Yes El No Locations: Copies of All Reports and Data Requested fl Yes

Visual InsDectlon Results: facade: • • Inspected Debris North ❑ N/A ® Yes ❑ No ❑ No Visible/Fine Layer ®'/ to 1" South ❑ N/A ® Yes ❑ No ❑ No Visible/Fine Layer '/ to 1" East ❑ N/A QJ Yes[] No ❑ No Visible/Fine Layer h to 1" West ❑ N/A j~j Yes ❑ No ❑ No ViSible/Fine Layer % to 1" Facade Description: C,'

Roof Wst Debris: QNo Visible (Fine yer % to 1" • =~""'`~ ❑ > 1" I Description: pJrt om. ft io 4's l 6.id c.

Setbacks N/A ❑ Floor: Debris: ❑ No Visible/Fine Layer ®'/ to 1" ❑ > 1" Floor Debris: ❑ No Visible/Fine Layer ❑'/ to 1" ❑ > 1" Floor. Debris: ❑ No Visible/Fine Layer ❑ Y2 to 1" ❑ > 1" Floor. Debris: ❑ No Visible/Fine Layer ❑'/ to 1" 0> 1" Floor. Debris: ❑ No Visible/Fine Layer 034 to 1" ❑ > 1"

4 i

Date: / . r /2002 Inspection Team: Name: R. RfZ 1H(!( Agency: 11 j Name:!/ 0/A'I/OO Agency: 4N PF C A

NYC-WTC 000122769