WTC environmental inspection form for 180 Broadway

NYC 9/11 Public Portal Document

WTC Visual Survey Form Premise Address:

Block: '~ Residential 0 Comrnerciai f Name of Building: Lot: Mix UseD Other # of Stories: AKA's: Building Owner/Management: Telephone Number. ( ) Name: FAX: Address: On Site Contact: Name: " ' .. Telephone Number: Building Owner Management Activities Interior Survey Performed ❑ Yes 0 No Exterior Survey Performed ❑ Yes 0 No General Clean Up ❑ Yes 0 No Locations: ACM Clean Up 0 Yes 0 No Locations: Air Monitoring 0 Yes 0 No Locations: Copies of All Reports and Data Requested J Yes Visual inspection Results: Facade: Inspected Debris North ❑ N/A ❑ Yes 0 No ❑ No Visible/Fine Layer ❑%to1" 0>1" South ❑ N/A ❑ Yes 0 No ❑ No Visible/Fine Layer 034t01" 0>1" East ❑ N/A ❑ Yes 0 No ❑ No Visible/Fine Layer ❑Yatol" 0>1" West ❑N/A 0Yes0No ❑ No Visible/Fine Layer ❑Mato l" 0>1" Facade Description:

Roof

Debris: E] No Visible /Fine Layer [ to 1" ❑ > 1" Description: T\ i _ I4 - _ a i/ —R` ~ .ter ~ ~r. r~/ A A ~' i t ' lu

Setbacks N/A ❑ Floor. Debris: 0 No Visible/Fine Layer 034 to 1" 0>1" Floor Debris: 0 No Visible/Fine Layer 034 to 1" 0> 1" Floor: Debris: 0 No Visible/Fine Layer ❑ h to 1" 0> 1" Floor. Debris: 0 No Visible/Fine Layer ❑ %to 1" 0> 1" Floor: Debris: 0 No Visible/Fine Layer 034 to 1" 0> 1" Comments t s a-. • 2 e--a- t (, I~ c'"1

Date: i ~2 inspection Team: Name: ('171 L Agency: Name: Agency:

NYC-WTC-000122842