WTC building exterior assessment form, Feb 2002

NYC 9/11 Public Portal Document

WTC Visual Survey Form ?remise Address: LLL Block:) S I Residentia mmercial Name of Building: Lot: LQ Mix UseD Other * of Stories: AKA's: ti Buiidinp.Ownerl.M_a_.nacemnent Telephone Number ( ) Name: Pit- - -x T--------------- FAX:.-(._._._._._._.a. Address:. - =- - = - ---

Pit . . . . . . . . . . . . . . . . .,. . . . . . .,. . . . . . . . On Site Contacti ............................................................... Name: " Telephone Number Building Owner Management Activities Interior Survey Performed D Yes Q No Exterior Survey Performed D Yes No a

General Clean Up ❑ YesD No Locations: ACM Clean Up ❑ YesD No Locations: Air Monitoring D YesL]No Locations: Copies of All Reports and Data Requested fl Yes

Visual Inspection Results: Facade: Inspected Debris North South East N/A N/A N/A Yes No

❑YesANo No ,,H No Vsible/Fine Layer isiblelFine Layer No Visible/Fine Layer 14 to 1' % to 1' %to1' 0>1' H31-In >1' West g N/A D YesD No fl No Visible/Fine Layer 36 to 1' 0>1' Facade Description:

Roof Debris: ( Visible /Fine Layer .=J % to V 9>1' Description:

Setbacks N/AD Floor____ Debris: No Visible/Fine Layer % to 1' > 1' Floor____ Debris: No Visible/Fine Layer % to 1' > 1' Floor . Debris: No Visible/Fine Layer % to 1' > 1' Floor. Debris: No Visible/Fine Layer 3+4 to 1' > 1' Floor___ Debris: No Visible/Fine Layer 34 to 1' > 1' Comments

Date: Inspection Team: Name: Agency: Name: Agency: N T E R E

NYC-WTC 000094447