WTC building exterior assessment form, April 2002

NYC 9/11 Public Portal Document

WTC Visual Survey Form 10 C2O-7 1 'Premise Address: I Block: Residenti Commercial Name of Building: ~Mfl p Lot: (, Mix Use 0 Other # of Stories: AKA's: Building Owner/M na eme Telephone Number. ( ) Name: n ~un aI iC` V; c6r,S FAX: Address Ckrf SCfl C \ fOp i3- 1 On Site Contact: Name: • • .' . Telephone Number Building Owner Management Activities Interior Survey Performed Exterior Survey Performed 9 Yes[] No Yes ❑ No General Clean Up ❑ Yes No Locations: ACM Clean Up ❑ Yes No Locations: Air Monitoring 9 YesD No Locations: Copies of All Reports and Data Reguestedfl Yea

Visual Inspection Results: Facade: Inspected Debris North N/A 9 Yes No Visible/Fine Layer %s to 1' fl > 1' South ] N/A H No Visible/Fine Layer % to 1' > 1' East ❑ N/A DYes ❑ No tNo 9 Visible/Fine Layer 3h to 1 > 1' West ❑ N/A t] Yes 0 No Visible/Fine Layer H%tol" H3010 Facade Description:

Roof r r Debris: Visible /Fine Layer ._] % to 1- 9> 1' Description:

Setbacks WAD 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____ Floor. Debris: Debris: No Visible/Fine Layer No Visible/Fine Layer 3% to 1' 3% to 1' E > 1' > 1' Comments

Date: ) / 12002 Inspection Team: Name: ' " ' `-' Agency: T E R E Name: Agency:

NYC-WTC 000094449