WTC building inspection form, 45 Broadway

NYC 9/11 Public Portal Document

'1 WTC Visual Survey Form Premise Address:

Block: I Residential 0 CommercJD Name of Building: Lot: I Mix UseD Other # of Stories: -7 it I AKA's: Building vvner/ a ement: t Telephone Number: (2 t L) cv 'j 9 `~ Name: 1. , yt a* Yety1 FAX: ( ) Address: On Site Contact:; i Name: N-o ~ ~ B'M© Telephone Number: ( ) Building Owner Management ctivities Interior Survey Performed Yes ❑ No Exterior Survey Performed General Clean UPS}-Yes ❑ No es ❑ No Locations: C'' " ACM Clean Up fl Yes- No Locations.- Air Monitoring Wes ❑ No Locations: Copies of All Reports and Data Requested es A Visual Inspection Results:

Inspected DbrIs North ❑ N/A ,Yes ❑ No j No Visible/Fine Layer 034 to 1" ❑ > 1" South .N/A 'Yes ❑ No No Visible/Fine Layer ❑Y2 to 1" ❑ > 1" East ❑ N/A Yes ❑ No o Visible/Fine Layer ❑ Y2 to 1" 0>1" West ❑ N/A 12Xes ❑ No [' to Visible/Fine Layer ❑'/ to 1" ❑ > 1" Facade Description:

Roof

Debris: j No Visible /Fine ye; ❑ % to 1" '1 t'`'1 ❑ > 1" / Description:'" , 1 _ 1- rf () } . A

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

Comments

Date: ~i 2' 0 Inspection Team: Name: L- t I ('~Agenc Cam' -( Name: Agency:

NYC-WTC 000123619