Building inspection questionnaire, 181 Broadway, 2002

NYC 9/11 Public Portal Document

.T WTC Visual Survey Form Sore Premise Address: la,' Block: Residential 1 1 Commercial 0 Name of Building: Lot: 1 Mix Use Other # of Stories: AKA's: Building Owner Management: Telephone Number: (s., Z ) ?1= - 76 r- Name: C e. -e FAX: (t/2) 7 2 - / yZ S" Address: £4rj 51 i C 141D.,1 On Site Contact: 1 Name: /&CA /__l irf J Telephone Number: (l.rz. 73 2- 7 t Building Owner Management Activities' Interior Survey Performed ❑ Yes ❑ No ? Exterior Survey Performed ❑ Yes ❑ No ' General Clean Up X Yes ❑ No Locations: 4ecd'sr jj!:5 ; ( <w..jr ACM Clean Up ❑ Yes ❑ No 2 Locations: Air Monitoring ❑ Yes ❑ No . Locations: Copies of All Reports and Data Requested J Yes

Visual Inspection Results: Facade: Inspected Debris North ® N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer ❑%to1" 0>1" ® N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer ❑ South N/A Yes No ❑ No Visible/Fine Layer ❑Yto1" >1" West N/A ® Yes Q No ® No Visible/Fine Layer ❑Yto1" 0>1" Facade Description:

Roof

Debris: 0 No Visible /FineLayer ® Va to 1" ? ❑ > 1" 'I Description: Peb, is &v,

Setbacks N/A x Floor. Debris: ❑ No Visible/Fine Layer ❑ Va to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer ❑ % to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer ❑ Va to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer ❑ Va to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer ❑ % to 1" ❑ > 1" Comments /~ c:~9' 1 /31/c. 4 Ae/( j , , /Lav r $ r f eJ les s.I f.4 ,csv s 4 4e.

Date: / / /2002 Inspection Team: Name: •I'"'r 'l. c Agency: iJ Name: 1 r' 0 Agency: N C

NYC-WTC 000122916