WTC debris inspection form, 189 Broadway, 2002

NYC 9/11 Public Portal Document

A . . WTC Visual Survey Form se Address: — .A

roc : Residential Commercial Name of Building: 1 Mix Use Other # of Stories: AKA's: 1v3 ie s!h r 1 Sc. 0> Building Telephone Number: (7/'')

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 Yes visual inspection Kesults: Facade: In pected Debris North ❑ N/A [ Yes ❑ No [ Ale-bksible/Fine Layer ❑ % to 1" ❑ > 1" South ❑ N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer ❑'/2 to 1" 0>1" East ❑ N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer ❑ Y2 to 1" ❑ > 1" West ❑ N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer ❑ Y2 to 1" D>1' Facade Description: 1r t: ' L 1 R1: : 7 's a ri '/ SAC /f1)C_

Roof

Debris: ❑ No Visible /Fine Layer ❑ % to 1" ❑ > 1" Description: Cc. /'1,4-JoV "r - F ,$ / P3 ` rti -y

Setbacks N/A ❑ Floor: Debris: ❑ No Visible/Fine Layer ❑ %2 to 1" ❑ > 1" 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 ❑Y2 to 1" ❑ > 1" Comments

Date: 1 / U /2002 Inspection Team: Name: R F;4pc 4 rk is Agency: G'S t PA Name: R • Ram myh Agency: j coxO of ~k NYC-WTC 000123054