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Document / 3 pages

Document label sheet, 5 Broadway area, Oct 2001

Machine-extracted title · confidence 100%

Label sheet identifying environmental records for properties on 5 and 11 Broadway following the World Trade Center collapse.

NYC-WTC_000123509–000123511

Folder label: “5 BROADWAY 1000044, 13/5 11 BROADWAY 1000044, 13/5

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Scanned page image, NYC-WTC_000123510
OCR text

OCR status: ok · source: pdftotext

NYC 9/11 Public Portal Document

WTC Visual Survey Form PremiseAddress: - ,r- — L Block: Res dential D Comh,ecial Name ofBuilding 1 -/OOOON Lot: Mix Use El Other # of Stories: ').- AKA's: Building Owner/Management. Telephone Number. (2 -z.. Name: -- FAX: ( ) Address: On Site Contact: Name: LA 1 t..-- v Telephone Number: ( ) Building Owner Management Activities Interior Survey Performed ❑ Yes ['N Exterior Survey Performed ❑ Yes [ No General Clean Up 4es ❑ No Locations: ACM Clean Up ❑ Yes o Locations: Air Monitoring ❑ Yest o Locations: Copies of All Reports and Data Requested I J Yes

Visual Inspection Results: Facade: Inspected Debris North .- N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer ❑Y2 to 1" 0>1" South - -N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer ❑%tol" 0>1" East j) N/A Yes ❑ No - No Visible/Fine Layer ❑%to l" 0>1" West n N/A [ Ces ❑ No j -No Visible/Fine Layer ❑'/tol" ❑>1" Facade Description•

Roof ' Debris: o Visible /Fine Layer ❑ % to 1" •1 ~'"' ❑ > 1" ''"'`~ Description:

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

Comments

Date: • I J2002 Inspection Team: Name: '- Agency: 3) C?0 Name: Agency:

NYC-WTC 000123510

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NYC-WTC_000123510Source: NYC Law Department, mirrored locally

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