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Document / 6 pages

WTC building inspection form, 211 Broadway

Machine-extracted title · confidence 90%

Form documenting building inspection findings including facade assessment and ACM presence for a property in the WTC area.

NYC-WTC_000123643–000123648

Folder label: “211 BROADWAY

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Scanned page image, NYC-WTC_000123646
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NYC 9/11 Public Portal Document BIN 100183 WTC Visual Survey Form o4 pronaur BIN /00/231 Premise Address Broadwa Tripite ptare 201-24 Brondung Residential Commercial L Name of Building: Mix Use D Other X. Churek St. PAU l's # of Stories: AKA's: Building Owner/Management: Name: HARO Telephone Number: () FAX: () Address: 240 On Site Contact: MAdISON Ave., NA, N4. Name: beter SAGLIOCCA Fmeilitie Mgr. Telephone Number: (212) 571-4357 Building Owner Management Activities Interior Survey Performed XYes • No Exterior Survey Performed Yes No ? General Clean Jp XYes No Locations: MAXON-Insiche § Dutsice ACM Clean Up Yes No Locations: Air Monitoring 1Yes No Locations: Copies of All Reports and Data Requested Yes Visual Inspection Results: Facade: Inspected North N/A XYes South N/A XYes East N/A *Yes West •N/A [ Yes No No No Facade Description: snti. Lmilius el Debris X No Visiple Fine Layer XNo Visible/Fine Layer XlNo Visible Fine Layer E No ViibleJFine Layer •½to 1" ½ to 1" ½ to 1" •½to 1" >1" > 9" >9" > 1" Roof Debris: Description: ht pist V No Visible Fine Layer ½togr1.ls •>9"f.Ams1. Small Amouats of delent in gutter. Pitereal roof veg clear. Setbacks N/A [X Floor: Floor: Floor: Floor: Floor: Debris: • No Visible/Fine Layer Debris: • No Visible/Fine Layer Debris: No Visible/Fine Layer Debris: No Visible/Fine Layer Debris: • No Visible/Fine Layer ½ to 1" ½ to 1" ½to 1" ½ to 1" ½ to 1" > 9" >9" >9" > > 9" Comments court/qreave FBI did clesa op of the yARu. Court ymed /seave ynad nichly con tamiented with wTc debris. Oumer shoytel Anve dehois fested Date:/1 2812002 Inspection Team: Name: A. Fitzpatrick Agency: VSEBA Agency: - NYC-WTC_000123646

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NYC-WTC_000123646Source: NYC Law Department, mirrored locally

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