WTC facade inspection form, 198 Broadway, Oct 2001

NYC 9/11 Public Portal Document

WTC Visual Survey Form 10O/321 Premise Address:

Block: 7 Residential D Commercial Name of Building: Lot: I I Mix Use J Other # of Stor s: AKA's: Building Owner/Mang9ement:~ ~1 Telephone Number: ( ) Name: aX~ ~ ~--~e FAX:( Address: 4 BO On Site Con ct: Name: • 0— n 9-. Telephone Number: ( ) Building Owner Management Activities Interior Survey Performed es ❑ No Exterior Survey Performed [ (es ❑ No General Clean Up es ❑ No Locations: ACM Clean Up Y s ❑ No Locations: Air Monitoring eL es ❑ No Locations: Copies of All Reports and Data Requested s

Visual Inspection Results: Facade: Inspected Debris North ❑ N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer ❑'/2 to l" 0>1" South ❑ N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer E]'/z to 1" ❑> 1" East ❑ N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer ❑%2to1" ❑>1" West -❑NIA ❑Yes❑No ❑ No Visible/Fine Layer E]%2 to 1" ❑> 1" Facade Description: g,.*T„r_- L `i. u . Jim_ ~: $

Roof

Debris: ~o Visible /Fine ayer ❑ V to 1" -1 -{'"'^ ❑ > 1" Description:

Setbacks N/A e Floor: Debris: ❑ No Visible/Fine Layer ❑'/ to 1" ❑ > 1" 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 0 to 1" []> 1" Floor: Debris: ❑ No Visible/Fine Layer ❑ % to 1" ❑ > 1"

Comments

Date: ) -- / tC/2002 Inspection Team: Name: -Q,17 ' 12 - ~kAgency: Name: Agency:

NYC-WTC 000123209