WTC Building inspection form, 30-story building, Block 1

NYC 9/11 Public Portal Document

WTC Visual Survey Form 10011 $0 Premise Address: QT n I '' Block: 1 d Residential Commercial ❑ Name of Building: Lot: I I Mix Use ❑ Other ❑ # of Stories: 3o AKA's: Building Owner/Management: (20r~. Re £e.vLpTelephone Number: (21 Z) -/ 1- qq qo Name: FAX: ( ) - -_ Address: On Site Contact: n,, Name: De.yv'i c 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 J Yes ❑ No Locations: Copies of All Reports and Data Requested Yes

Visual Inspection Results: Facade: Inspected Debris North ❑ N/A ® Yes ❑ No 2 No Visible/Fine-LayeT ❑ % to 1" ❑> 1" 1„ South ❑ N/A 0 Yes ❑ No j J"No Visible/F-ifle-Sayer ❑ % to 1" ❑> East ❑ N/A Yes ❑ No &r No Visible/Finetayer ❑ '/2 to 1" ❑ > 1" West ❑ N/A ~ Yes ❑ No No Visible/Finetayer ❑'/ to.1" ❑> 1" Facade Description:

Roof

Debris: No Visible /Fine Layer ❑Y2to1" ❑>1" Description:

Setbacks N/A J j Floor: Debris: ❑ No Visible/Fine Layer ❑ 1/ 2 to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer ❑'/2 to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer ❑ 1/ 2 to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer ❑ 1/ 2 to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer [I 1/2 to 1" ❑ > 1"

Comments

Date: 2 / 15- /2002 Inspection Team: Name: R • ' "' Agency: DrP. Name: Agency:

NYC-WTC 000093168