WTC building inspection form, 211 Broadway

NYC 9/11 Public Portal Document

)~ aa1&3 rC Visual Survey Arm Premise Address: 7y '1 ,.. I lc aOf-o1-r't Block: Residential Commercial Name of Building: Lot: Mix UseD Otherj 4. 's # of Stories: AKA's: Building Owner/Management: Telephone Number: ( ) Name: RO FAX: Address: /,I r ,, t. /V , On Site C ntact: Name: f4k, S4 I? r'O Cc s <<frr /4 ,. Telephone Number: LIt.) T 7i - Building Owner Management Activities ? Interior Survey Performed yJ Yes ❑ No , Exterior Survey Performed LYes ❑ No General Clean Jp Yes ❑ No Locations: /1,h oyJ — •,AS c .Le 5 D 4S;c ACM Clean Up l[ Yes No Locations: Air Monitoring Yes ❑ No Locations: Copies of All Reports and Data Requested Yes

visual inspecuvn r%esuits; Facade: Inspected North ❑ N/A ® Yes ❑ No ne Layer D% to 1" South ❑ N/A ® Yes ❑ No ne Layer ❑'h to 1" East ❑ N/A ® Yes ❑ No ne Layer ❑'/to1" West ❑ N/A ® Yes ❑ No ne Layer ❑Yto1" Facade Description: P11 ;. L-"' t ws rt

Roof

Debris: No Visible Fine aye 0 to 1" •1 ~"°' ❑ > 1" Description:

Setbacks N/A Floor: Debris: ❑ No Visible/Fine Layer ❑'/ to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer 0 V to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer ❑ % to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer ❑ 1/ to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer ❑ % to 1" ❑ > 1"

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Date: _L/ 4 /2002 Inspection Team: Name: • E2744)4 r r 'c' Agency: C/S 44- Name: Agency:

J NYC-WTC 000123647