WTC debris inspection form, 185 Broadway, 2002

NYC 9/11 Public Portal Document

* WTC Visual Survey Form Premise Address: / s- i 4 - Block: Residential 0 Commercialtj Fame of Building: Lot: Mix Use J Other 0 - w •e s # of Stories: dt AKA's: Building Owner/Management: Telephone Number: ( ) Name: FAX: Address: On Site Contact: Name: ' Telephone Number: ) Building Owner Management Activities 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 ❑ No Locations: Copies of All Reports and Data Requested U Yes

Visual Inspection Results: Facade: Inspected Debris North ❑ N/A ❑ Yes ® No ❑ No Visible/Fine Layer ❑ /a to 1" ❑ > 1" South ❑ N/A ❑ Yes ® No ❑ No Visible/Fine Layer ❑ Va to 1" ❑ > 1" ❑ N/A I J Yes No ❑ No Visible/Fine Layer ❑ > 1" East West ❑ N/A Facade Description: Yes ® No ❑ No Visible/Fine Layer D Va '/ to 1" to 1" ❑ > 1"

Roof

Debris: ❑ No Visible /Fine3La W yer ®/ to 1" .1 ;( 4 ❑ > 1" 1 •L-4. Description: (%bs i t d Gv rt. no,- ft!S, A,- S S a /v%-e•/. n

Setbacks N/A [a Floor. Debris: ❑ No Visible/Fine Layer ❑'/ to 1" ❑ > 1" Floor Debris: ❑ No Visible/Fine Layer ❑'/a to 1" ❑ > 1" Floor. Debris: ❑ No Visible/Fine Layer ❑ %a to 1" ❑ > 1" Floor. Debris: ❑ No Visible/Fine Layer ❑ / to 1" ❑ > 1" Floor. Debris: ❑ No Visible/Fine Layer ❑ % to 1" ❑ > 1"

Comments Cl S~'' S

Date: I ii' /2002 Inspection Team: Name: J Agency: 4c Name: z Agency: MC O#i'

NYC-WTC 000123027