WTC building facade inspection form, debris assessment, undated

NYC 9/11 Public Portal Document

Premise Address: 5 WTC Visual Survey Form 10740113 Block: I Residential Commercial . Name of Building: Lot: I I Mix Use ❑ Other ❑ # of Stories: I AKA's: Building Owner/Managem nt: Telephone Number: ( ) Name: 'J w—o.-ctt-- Cc FAX: ( ) Address: 11A..ot On Site Contact: Name: ' .1- Q----- Telephone Number: ( ) Building Owner Management Activities Interior Survey Performed [Yes ❑ No Exterior Survey Perfo ed [Yes El No General Clean Up [Yes ❑ No Locations: ACM Clean Up 0 -Yes ❑ No Locations: Air Monitoring Yes ❑ No Locations: Copies of All Reports and Data Requested Vs

Visual Inspection Results: Facade: Inspected pebris North ❑ N/A El Yes ❑ No J No Visible/Fine Layer ❑'/2 to 1" South ❑ N/A ❑ Yes ❑ No J No Visible/Fine Layer El 1/2 to 1" East ❑ N/A ❑ Yes ❑ No No Visible/Fine Layer ❑'/z to 1" West ❑.N/A ❑ Yes ❑ No El No Visible/Fine Layer ❑'/2 to 1" Facade Description:

Roof st Debris: 'No Visible /Fine Layer ❑'/2 to 1" 1 ❑ > 1" 1 Description:

Setbacks N/A" Floor: Debris: ❑ No Visible/Fine Layer ❑'/2 to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer ❑'/2 to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer El 1/2 to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer ❑ '/2 to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer 0'/2 to 1" ❑ > 1"

Comments

Date: )—/ C4/2002 Inspection Team: Name: Agencya' 'L I- T Name: J Agency:

NYC-WTC 000093096