WTC building inspection form, 211 Broadway

NYC 9/11 Public Portal Document

WTC Visual Survey Form Premise Ad re : c

Block: Residential Con*tie vial JName o Building Lot: I Mix Use El Other. l., ~-~- # of Stories: I AKA's: Building Own r/Mana ment: Telephone Number: ( i Name: 04 e 72 FAX: ( ) Address: On Site Contact: Name: ~ c. \'' ' Telephone Number: ( ) Building Owner Management Activities Interior Survey Performed ❑ Yes ❑ No ., . Exterior Survey Performed ❑ Yes ❑ No General Clean Up ❑ Yes ❑ No Locations: v ACM Clean Up ❑ Yes ❑ No Locations: Air Monitoring ❑ Yes ❑ No Locations: Copies of All Reports and Data Requested ❑ Yes

Visual Inspection Results: Facade: Ins ected Debris North j] N/A es ❑ No No Visible/Fine Layer ❑'/ to 1" ❑ > 1" South ❑ N/A Yes ❑ No I No Visible/Fine Layer ❑'/2 to 1" ❑ > 1" East ❑ N/A Q Yes ❑ No • No Visible/Fine Layer ❑ % to 1" ❑ > 1" West ❑ N/A [ Yes ❑ No j] No Visible/Fine Layer ❑ Y2 to 1" ❑ > 1" Facade Description: h I

Roof

Debris: No Visible /Fine r ❑'/ to 1" 1 ❑ > 1" "1 Descriptio r C; 1 , LöJ

Setbacks N/A, Floor: Debris: No Visible/Fine Layer 0% to 1" Floor: Debris: No Visible/Fine Layer ❑ % to 1" Floor: Debris:.RNo Visible/Fine Layer ❑ % to 1" Floor: Debris: ❑ No Visible/Fine Layer ❑ Y2 to 1" Floor: Debris:] No Visible/Fine Layer ❑ Y2 to 1" r Comments

Date: / 2 U /2002 Inspection Team: Name: Agency: I Name: Agency:

15 NYC-WTC 000123643