WTC visual inspection form, Hanover Square, undated

NYC 9/11 Public Portal Document

WTC Visual Survey Form Premise Address: ,"NU V Block: Residential Commercial /r

Name of Building: Lot: Mix Use Other # of Stories: 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 ❑Y2to1" E]>1" South ❑ N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer ❑Y2 to 1" ❑> 1" East ❑ N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer ❑'/2 to 1" 0>1" West ❑ N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer ❑%to 1" ❑> 1" Facade Description:

Roof " Debris: ❑ No Visible /Fine Layer ❑'/ to 1" J ❑ > 1" - Description:

Setbacks N/A+❑ — Floor. Debris. o Visible/Fine Layer ❑ % to 1" ❑ > 1" Floor: Debris No Visible/Fine Layer ❑ % to 1" ❑ > 1" Floor: Debri : ❑ No Visible/Fine Layer ❑ %2 to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer ❑ Y2 to 1" ❑ > 1" Floor. Debris: ❑ No Visible/Fine Layer 0 % to 1" ❑ > 1"

Comments

Date: 6/ -'i '0 Inspection Team: Name: ' C Agency: Name: ' Agency:

NYC-WTC 000093524