DEP letter requesting environmental hazard assessments, April 2002

NYC 9/11 Public Portal Document

WTC Visual Survey Forzn. 1ooa0~a Premise Address:

Block: f I Residential U mmercial p Name of Building: Lot un Mix Use er - # of Sto e : AKA's: — Building Owner/Management- Telephone Number. ( ) Name: Address: P11 On Site Contact: ° Name: ' ' -. Telephone Number. Building Owner Management Activities Interior Survey Performed Yes No Exterior Survey Performed 0 Yes No General Clean Up Yes No Locations: ACM Clean Up g Yes No Locations: Air Monitoring D Yes[] No Locations: Copies of All Reports and Data Requested Yes

Visual Inspection Results: Facade: Inspected . Debris North N/A No sible/Fine Layer % to 1' >1' South N/A No sible/Fine Layer 34 to 1' >1' East N/A 9 Yes No rNo sible/Fine Layer 3 to 1' > 1' West N/A YesD No sible/Fine Layer 34 to 1' H301' Facade Description:

Roof

Debris: isible /Fine Layer -fl 34 to 1' 0>1' Description: o wa-

Setbacks N/AL] Floor___ Debris: No Visible/Fine Layer Y: to 1' 0> 1' Floor____ Debris: No Visible/Fine Layer 34 to 1' > 1' Floor.____ . Debris: No Visible/Fine Layer % to V >1' Floor____ . Debris: No Visible/Fine Layer % to V > 1' Floor.___ Debris: No Visible/Fine Layer 3% to 1' >1'

Comments -

Date: J tli 11002 Inspection Team: Name: Agency: Name: Agency:

NYC-WTC 000094457