WTC environmental inspection form for 16 Hudson Street

NYC 9/11 Public Portal Document

L/ WTC Visual Survey Form ` Premise Address: -, G Block: Residential Commercial Name of Building: Lot: 't Mix Use D Other 1- # of Stories: L.f AKA's: Building Owner/Management Telephone Number: ( ) Name: FAX: Address: On Site Contact: Name: ' * ~~~ Telephone Number: Building Owner Management Activities Interior Survey Performed ❑ Yes ❑ No Exterior Survey Performed ❑ 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 Yes

Visual Inspection Results: Facade: Inspected Debris North N/A ❑Yes❑No ❑ No Visible/Fine Layer ❑%stoi' ❑>1' South /A ❑ Yes ❑ No ❑ No Visible/Fine Layer ❑%tol" ❑>1' East [ N/A ❑Yes❑No ❑ No Visible/Fine Layer ❑%ato1 ❑>1" West ❑ N/A 'Yes ❑ No No Visible/Fine Layer ❑Mato 1" D> 1' Facade Description:

Roof

Debris: Visible /Fine Layer .❑ % to 1' ❑ > 1' Description:

Setbacks N/A ❑ Floor. Debris: ❑ No Visible/Fine Layer ❑ .4 to 1' ❑ > 1' Floor. Debris: ❑ No Visible/Fine Layer ❑'/a to 1' ❑ > 1" Floor. Debris: ❑ No Visible/Fine Layer ❑ 34 to 1' ❑ >V Floor. Debris: ❑ No Visible/Fine Layer 0 % to V ❑ > 1' Floor. Debris: ❑ No Visible/Fine Layer ❑ i4 to 1' ❑ > 1'

Date: Inspection Team: Name: L ?l'" Agency: Name: Agency:

NYC-WTC 000092753