Label sheet, 39 Broadway, Oct 2001

NYC 9/11 Public Portal Document

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WTC Visual Survey Form Premise Addresg:, (~

Block: I Residential J ComnibraI Name of Building: Lot: Mix Use D Other -m # of Stories: AKA's: -' ` Building Owpgrr artaJe nt: Telephone Number. ( z) `I ~h'I Name: NN o~- ~-~ FAX: Address: On Site Conta*,,~ N ~~ Name: Telephone Number: Building Owner Management Activities Interior Survey Performed des ❑ No Exterior Survey Performed EYes ❑ No ~~ n General Clean Up es ❑ o Locations: \b Y ACM Clean Up ❑ es Locations: Air Monitoring GA' J No Locations: Copies of All Reports and Data Requested es

Visual Inspection Results: Facade: N - -L wcx-2_ o Inspected Debris No Visible/Fine Layer 0 V to 1" ❑ > 1" South, ~ N/ t Infs Yes Q No o Visible/Fine Layer ❑ % to 1" ❑ > 1" East ~"l N/ [ :YesQ No o Visible/Fine Layer Q % to 1" Q > 1" West N/A j Yes ❑ No DNa Visible/Fir Layer ❑ a to 1", 0> 1" Facade Description:

Roof

Debris: o Visible /Fine Layer ❑ Va to 1" -1 °"t.4 0> 1" I Description:

Setbacks N/ Floor. Debris: ❑ No Visible/Fine Layer ❑ Va to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer ❑'/ to 1" ❑ > 1" Floor. Debris: ❑ No Visible/Fine Layer ❑V:to 1" ❑ > 1" Floor. Debris: ❑ No Visible/Fine Layer ❑'h to? 0>? Floor: Debris: ❑ No Visible/Fine Layer ❑ 34 to 1" ❑ > 1"

Comments

Date: 1 //2002 Inspection Team: Name: "t tb" C- '' "^ Agency: Pep Name: Agency: E N 1 ERE ~ of

NYC-WTC 000123598