WTC building inspection form, 45 Broadway

NYC 9/11 Public Portal Document

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WTC Visual Survey Form Premise Address:

Block: esidential D CommercJD I Name of Building: Lot: „ f Mix Use Other # of Stories: AKA's: Building vvner/a1ement: Telephone Number:; P II Name: FAX: ( ) Address: On Site Contact:; Name: ~-~ d`"~°` ~`^ Telephone Number: ( ) Building Owner Management ctivities Interior Survey Performed -Yes ❑ No Exterior Survey Performed, Yes ❑ No J \A\ General Clean UPS-Yes [j No Locations: ACM Clean Up []Yes. No Locations: Air Monitoring 93-Yes El No Locations: Copies of All Reports and Data Requested es A Visual Inspection Results: Facade: Ins ected Debris North [j N/A es [] No No Visible/Fine Layer ❑Y2 to 1" ❑ > 1" South ` N/A ' Yes ❑ No No Visible/Fine Layer ❑ Ys to 1" ❑ > 1" East ❑ NIA Yes ❑ No j No Visible/Fine Layer ❑'/2 to 1" O>1" West ❑ N/A [7,~.Yes ❑ No Visible/Fine Layer ❑'/ to 1" ❑ > 1" Facade Description: tL

Roof

Debris: No Visible /Fine yer ❑'/ to 1" .1 `j' 4 ❑ > 1" Description: — r -. >

Setbacks N/A)( Floor. Debris: ❑ No Visible/Fine Layer 036t0 1" O>1" Floor: Debris: ❑ No Visible/Fine Layer ❑ %% to 1" ❑ > 1" Floor. Debris: ❑ No Visible/Fine Layer 0%to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer ❑ % to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer ❑'% to 1" ❑ > 1"

Comments

Date: 11 202' 0 Inspection Team: Name: L- L -1 Agency: C'r' Name: Agency:

NYC-WTC 000123619