WTC facade inspection form, 5 East Broadway, 2002

NYC 9/11 Public Portal Document

WTC Visual Survey Form /00: 3 Premise A less:

Block: j Residential Commercial Name of Buildin Lot: I Mix Use Other # of Stories: hj I AKA's: Building Owne Telephone Number ( Name: /ManaPemeJL ` / ~( FAX: Address: I oo On Site Contact: r Name: * * Telephone Number. Building Owner Management Activities Interior Survey Performed ❑ Yes ❑ No Exterior Survey Performed 0 Yes ❑ No General Clean Up ❑ Yes ❑ No Locations: ACM Clean Up ❑ Yes ❑ No Locations: Air Monitoring ❑ Yes ❑ No Locations: Copies of All Reports and Data Requested j Yes Visual Inspection Results: Facade: Inspected Debris North ❑ N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer ❑Y2to1 0>1 '

South ❑ N/A ❑Yes ❑ No ❑ No Visible/Fine Layer 0 1/2 t0? D>1 East ❑ N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer ❑ /a to 1' 0>? West ❑ N/A ❑ Yes 0 No ❑ No Visible/Fine Layer ❑%to1' 0>1' Facade Description: O _

Roof

Debris: (o Visible /Fine Layer .0 36 t01 0>1* Description:

Setbacks n N/A Flood: Debris: ❑ No Visible/Fine Layer ❑'h to V 0>1" Floor, Debris: ❑ No Visible/Fine Layer ❑ h to? 0> 1' Floor. Debris: ❑ No Visible/Fine Layer ❑ h to 1' ❑ > 1' Floor Debris: ❑ No Visible/Fine Layer ❑'h to? ❑ > 1' Floor. Debris: ❑ No Visible/Fine Layer ❑ 36 to 1" ❑ > 1'

Comments

Date: 1 12002 Inspection Team: NamE&— Agency: Name: Agency: N T E R E0

NYC-WTC 000130846