WTC visual inspection form, Hanover Square, undated

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1000 WTC Visual Survey Form $22 Premise Address: 5- N N o,, e - I Block: Residential 0 Commercial e Name of Building: Lot: Mix Use ❑ Other El ' H pNov E2 SQCR,P~(~E # of Stories: Gj AKA's: Building Owner/Management: Telephone Number: (2-124 77 9 Name: P c Asscc. L .f FAX: ( ) Address: a 1000 On Site Contact: Name: V\kv or V4 ` per, Telephone Number: (2 )2) '4V - 73 Building Owner Mana ement 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: In pected Debris North ❑ N/A Yes ❑ No o Visible/Fine Layer ❑'/ to 1" South ❑ N/A Yes ❑ No No Visible/Fine Layer ❑ 1/ 2 to 1" East ❑ N/A Yes ❑ No No Visible/Fine Layer ❑'/2 to 1" West ❑ N/A Yes ❑ No No Visible/Fine Layer ❑ Y2 to 1" Facade Description:

Roof

Debris: 1lo Visible /Fine Layer 0½t01" 0>1" Description: // r, rOn -3- P VQ\S ti D cove _rca IY1

Setbacks Floor: Debris: ❑ No Visible/Fine Layer ~ Y2 to 1" Floor: Debris: ❑ No Visible/Fine Layer ❑ V2 to 1" Floor: Debris: ❑ No Visible/Fine Layer ❑ Y2 to 1" Floor: Debris: ❑ No Visible/Fine Layer ❑'/ to 1" Floor: Debris: ❑ No Visible/Fine Layer ❑ Y2 to 1"

Comments

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Date: 2 / 1 8_/2002 Inspection by: Name: R •nn Tke.obI1q Agency: NN,2,OEP Name: I Agency:

NYC-WTC 000093528