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Document / 2 pages

WTC visual inspection form, 212 Broadway, 2002

Machine-extracted title · confidence 80%

Visual facade inspection form for 212 Broadway documenting condition of exterior surfaces.

NYC-WTC_000123308–000123309

Folder label: “212 BROADWAY 1001245, 89/12

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Scanned page image, NYC-WTC_000123308
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OCR status: ok · source: pdftotext

NYC 9/11 Public Portal Document

'WTC Visual

Survey Form.: remise A

Block: Residential DCommerdal Name of ui din. Lot: Mix Use . Other, ..

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# of Stories: AKA's: Building Owner/Management: Telephone Number- ( ) Name: FAX: Address: On Site Co tact: Name: Telephone Number. t 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 Results: Facade: Inspected Debris North ❑ N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer /z to 1" 0>1" South ❑ N/A ❑ Yes ❑•No []No Visible/Fine Layer % to 1" ❑ > 1" East ❑ N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer % to 1" 0>1" West ❑ N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer Y2 to 1" 0>1" Facade Description:

Roof

Debris: ❑ No Visible /Fine Layer —j$.'/s to 1" ❑ > 1" Description:

Setbacks N/A ❑ Floor: Debris: ❑ No Visible/Fine Layer 0 Y to 1" ❑ > 1" Floor. Debris: ❑ No Visible/Fine Layer ❑ 4 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 ❑ % to 1" ❑ > 1" Comments

Date: 3/x/2002 Inspection by: Name: Agency: Name: Agency: I NYC-WTC 000123308

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NYC-WTC_000123308Source: NYC Law Department, mirrored locally

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