WTC visual inspection form, Hanover Square, undated

NYC 9/11 Public Portal Document

IV WTC Visual Survey Form 1000 032. P•r ~Trise Address:

Y3lock: Residential J Commercial Name of Building: Lot: < Mix Use 0 Other fl # of St ies: AKA's: Building Owner anagement: Telephone Number: ( ) Name: Hx • e -~Lv..~ 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 fl Yes

Visual Inspection Results: Facade: Inspected Debris North ❑ N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer ❑ Y2 to 1 " 0 >1"

South ❑ N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer ❑/2to1" 0>1" East ❑ N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer ❑ A to 1" 0 >1"

West ❑ N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer ❑'%to 1" 0>1" Facade Description:

Roof

Debris: No Visible /Fine Layer .❑ % to 1" ❑ > 1" Description:

Setbacks N/A —D T t Floor isi e/Fine Layer ❑ V2 to 1" 0>1" Floor: Debris: ❑ No Visible/Fine Layer ❑'A to 1" ❑ > 1" Floor: Debris: ❑jNo Visible/Fine Layer ❑'A to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer ❑'/ to 1" ❑ > 1" Floor. Debris: ❑ No Visible/Fine Layer ❑'A to 1" ❑ > 1"

Comments

Date: U.. / I ,°LaO(, Inspection Team: Name: Agency: E E Name: Agency:

NYC-WTC 000093525