WTC facade inspection form, 1 East Broadway, Oct 2001

NYC 9/11 Public Portal Document

L . w T y • V WTC Visual Survey Form f0033-0L Premise Address:

Block: ResidentialI Commercial 9 Name of Bui ng: Lot: Co-5 Mix UseD Other # of Stories: Lji AKA's: Building ner anagem t: Telephone Number. ( ) Name: i2 FAX: Address: D -or l c Cc r -- /

On Site Contact. i Name: • .. . Telephone Number. Building Owner Management Activities Interior Survey Performed ❑ Yes 0 No Exterior Survey Performed 0 Yes 0 No General Clean Up ❑ Yes 0 No Locations: ACM Clean Up ❑ Yes 0 No Locations: Air Monitoring ❑ Yes 0 No Locations: Copies of All Reports and Data Requested p Yes

Visual Inspection Results: Facade: Inspected Debris North O N/A ❑ Yes O No ❑ No Visible/Fine Layer DYato 1" D>11- South ❑ N/A ❑ Yes O No O No Visible/Fine Layer [3'/2 to 1" 0>1' East O N/A ❑ Yes O No ❑ No Visible/Fine Layer ❑ i14 to 1" 0>1' West 0 N/A ❑ Yes ❑ No ❑ No) isible/Fine Layer 0 % to 1" 0 > 1" Facade Description:

Roof

Debris: o Visible /Fine Layer .0 % to 1" 9> 1' Description:

Setbacks N/A Floor Debris: 0 No Visible/Fine Layer ❑'h to 1' 11>1 '

Floor Debris: 0 No Visible/Fine Layer 0 V2 to 1' ❑ > 1' Floor. Debris: 0 No Visible/Fine Layer ❑ Va to 1' ❑ > 1" Floor Debris: 0 No Visible/Fine Layer ❑ h to V 0>1. Floor. Debris: 0 No Visible/Fine Layer ❑ % to 1' ❑ > 1'

Comments

Date: S / 12 0 Inspection Team: Name: Agency: ti Name: Agency:

NYC-WTC-000130840