WTC inspection form, 15 Jay Street, Oct 2002

NYC 9/11 Public Portal Document

1

Premise Address: i cWTC Visual Survey Form I c~O,2c)aXr,

Block! Residentia Comem a19 Name of Building: Lots Mix Use 0 Other # ofStories: AKA's: Building qwnerlManagement Telephone Number. ( ) - Name:lcl~v u 1O FAX: Address: On Site Contact Name: ' ' '' Telephone Number Building Owner Management Activities I Interior Survey Performed ❑ Yes Q No Exterior Survey Performed D Yes Q No General Clean Up Yes No Locations: ACM Clean Up Yes No Locations: Air Monitoring D Yes ❑ No Locations: Copies of All Reports and Data Requested J Yes

Visual Insoection Results: Facade: Inspected . Debris North South [] N/A a N/A 9Yes9No Oies No o No Visible/Fine Layer o Visible/Fine Layer i4 to l %to1' fl >I 'w >1 East 9 N/A DYes No No Visible/Fine Layer h to 1' > 1' West N/A Yes No No Visible/Fine Layer H to 1' 3% H301 ' Facade Description:

Roof

Debris: Visible /Fine Layer .936 to 1' 9>1. Description:

Setbacks N/AL] Floor___ Debris: No Visible/Fine Layer V to 1' > 1' Floor____ Debris: No Visible/Fine Layer % to 1' > 1' Floor__ Debris: No Visible/Fine Layer 36 to 1' >1. t Floor____ Debris: Q No Visible/Fine Layer 34 to 1' > 1' Floor___ Debris:(] No Visible/Fine Layer 34 to V > 1' Comments

Date: Inspection Team: Name: Agency. Name: Agency: ENTERS NYC-WTC 000094108