WTC debris inspection form for 192 Broadway, n.d.

NYC 9/11 Public Portal Document

WTC Visual Survey Form 13N1' (d01Z18 Prehise Address: 1 ~- - r uName -k Block: l Residential 0 Commerci of Building: Lot: t S Mix Use 0 Other # of Stories: AKA's: Building Owner/Management: t1 Telephone Number: ( ) Name: LL..€ L "S CAS. FAX: Address: ''" On Site Contact: Name: to S 1J w~9.-,1~-, Telephone Number: Building Owner Management Activities Interior Survey Performed 1fes ❑ No Exterior Survey Performed es ❑ No General Clean Up L Yes ❑ No Locations: ACM Clean Up es ❑ No Locations: Air Monitoring Yes ❑ No Locations: Copies of All Reports and Data Requested es Visual Inspection Results: Facade: Inspected bris North ❑ N/A ❑ Yes ❑ No LII Visible/Fine Layer 0%to1" No 0>1" South ❑ N/A ❑ Yes ❑ No No Visible/Fine Layer ❑%2 to 1" 0>1" East ❑ NIA ❑ Yes ❑ No No Visible/Fine Layer ❑%2 to 1" 0>1" West ❑ NIA ❑ Yes ❑ No No Visible/Fine Layer ❑'/to1" 0>1" Facade Description: __.

Roof W 5t- vti, ' Debris: g(No Visible /Fine ayer ❑ % to 1" •1 ~'~""{ 0>1" ,_44 Description:

Setbacks N/A1 Floor: Debris: ❑ No Visible/Fine Layer ❑ % to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer ❑ %2 to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer ❑ Y2 to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer ❑'/ to 1" ❑ > 1" Floor: Debris: 0 No Visible/Fine Layer ❑ Y2 to 1" ❑ > 1"

Comments

Date: 'a- / I /2002 Inspection Team: Name: Agency: NMC.11r Name: Agency:

NYC-WTC 000123110