WTC Visual Inspection Form, 3 Hanover Square

NYC 9/11 Public Portal Document

WTC Visual Survey Form i t ~d q3 31 Premise Address: 3 c c~ . (9- .4J b-o Mwer o— S -v L;« Gfi Block: Residential Commercial j j Name of Building: Lot: Mix Use ❑ Other o,( . # of Stories:.~3 AKA's: Building Owner/Management:RA A-rsoc, Telephone Number: (2/z) j'- 6 7g7, Name: ..j n FAX: Address: On Site Contact: Name: * .fry Telephone Number: (2 / 2 ) 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 Kesuits: 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 ❑ '/2 to 1" 0>1" East ❑ N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer ❑Y2 to 1- 0>1" West ❑ N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer ❑v2to1" 0>1" Facade Description:

Roof

Debris: ❑ No Visible /Fine Layer ,® V to 1" ❑ > 1" Description: 1.,1 r o J-0r ~.

Setbacks N/A ❑ Floor. 3 Debris: ® ine Layer ❑ % to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer ❑ % to 1" ❑ > 1" Floor: 2, s' i -' Debris: ® No Visible/Firmer ❑ % to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer ❑ % to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer. ❑ % to 1" ❑ > 1"

Comments

Date: / - /2002 Inspection Team: Name: /- /4oi1AW' Agency: c Name: Agency:

NYC-WTC 000093535