WTC building inspection form, 58 Liberty Street

NYC 9/11 Public Portal Document

WTC Visual Survey Form BN%1 100IO85. Premise Address: b~ Block: Residential 0 Commercial Name of Building: Lot: ' Mix Use ❑ Other ❑ # of Stories: AKA's: Building Owner/Management: tom}-e- - , Telephone Number: ( ) Name: c~aQ (~a.—dcc CQFAX: Address: On Site Contact: p Name: - Yo-e_ o,-~~ Telephone Number: ( ) Building Owner Management Activities Interior Survey Performed ( Yes ❑ No Exterior Survey Performed des ❑ No General Clean Up ❑ Yes No Locations: ACM Clean Up ❑ Yes No Locations: Air Monitoring DYesKjNo Locations: Copies of All Reports and Data Requested I Yes

Visual Inspection Results: Facade: Inspected debris North ❑ N/A ❑ Yes ❑ No No Visible/Fine Layer ❑'/2tol" 0>1" South ❑ N/A ❑ Yes ❑ No o Visible/Fine Layer 0Y2 to 1" ❑> 1" East ❑ N/A ❑ Yes ❑ No o Visible/Fine Layer ❑'/%to l" ❑> 1" West ❑ N/A ❑ Yes ❑ No o Visible/Fine Layer ❑ % to 1" ❑ >1" Facade Description: 0 c _c.Q .s

Roof

Debris: No Visible /Fine'Layer ❑'/ to 1" ='"' ❑ > 1" •1 Description:

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

Comments

Date: C / /2002 Inspection Team: Name: i- Agency: Name: Agency:

NYC-WTC 000093493