r V -
WTC Visual Survey Form / O O/ q;?
Premise Address:
Block: Residential Commercial D Name of Building:
Lot: Mix Use 0 Other
# of Stories: c. AKA's:
Building Qwner/~ianage ent: A Telephone Number. ( )
Name:
Address:. P11
On Site -----------------------------------------z r -
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 ❑ % to 1' 0>1'
South ❑ N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer ❑ V to 1' 0>1'
East ❑ N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer ❑ V to 1' 0>1'
West ❑ N/A ❑ YesJ No ❑ No Visible/Fine Layer ❑ %s to 1' 0>1'
Facade Description: ,_,
Roof
Debris: No Visible /Fine Layer .❑% to 1' ❑ > 1'
Description:
Setbacks N/A I
Floor. Debris: ❑ No Visible/Fine Layer ❑ % to 1' ❑ >V
Floor Debris: ❑ No Visible/Fine Layer ❑ Va to 1' ❑ > 1'
Floor. Debris: ❑ No Visible/Fine Layer ❑ 1/: to? ❑ > 1'
Floor Debris: ❑ No Visible/Fine Layer ❑ % to 1" ❑ > 1'
Floor. Debris: ❑ No Visible/Fine Layer ❑% to 1' ❑ > 1'
Comments
Date: /I12002 Inspection Team: Name: Agency:
Name: Agency:
N T E R EO
NYC-WTC 000092804
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NYC-WTC_000092804Source: NYC Law Department, mirrored locally
WTC inspection form for 8 HENRY STREET documenting building attributes, inspection tasks, and facade-side observations as part of environmental follow-up.
6 shared non-person entities · 1 shared topics · Same agency, volume and box · similarity 0.991
WTC inspection form for 8 HENRY STREET documenting building attributes, inspection tasks, and facade-side observations as part of environmental follow-up.