WTC building inspection form, 211 Broadway

NYC 9/11 Public Portal Document

WTC Visual Survey Fin 'r Premise Address: ..--''"p ~

Block: I Residential Commerc Name of Building: Lot: I Mix Use 0 Other # of Stories: Zt I AKA's: Building O eNM ement: Telephone Number. ( 2-1 y C) Name: ce V1, t1 FAX Address: • - C~w--R— On Site Contact: Name: • • •- ?~ - . Telephone Number. Building Owner Management Activities Interior Survey Performed es ❑ No Exterior Survey Perfo e es ❑ No General Clean U?Yes D No Locations: ACM Clean Up ❑ Yes ❑ No Locations: Air Monitoring Pes 0 No Locations: Copies of All Reports and Data Re ueste Yes

Visual It Results: Facade: Inspected Debris North ❑ N/A ❑Yes❑No ❑ No ViSible/Fine Layer 0%to1" 0>1" South ❑ N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer ❑%to1" 0>1" East ❑ N/A 9Yes ❑ No Flo Visible/Fine Layer ❑ % to 1" 0>1" West ❑ N/A Yes ❑ No ~`No Visible/Fine Layer ❑%to1" 0>1" Facade Description: G("• 4 Roof

Debris: No Visible /Fine Layer ❑ Y to 1" 0>1" Description:

Setbacks N/A ❑ Floor Debris: 1 Ne% Floor D+ Floor. DE Floor. De ~.; Floor•. Del ,

Comments rM

Date: I Z~ /2002 Agency:

NYC-WTC 000123721