DEP letter requesting environmental hazard assessments, April 2002

NYC 9/11 Public Portal Document WTC Visual Survey Form /0- IS~7 Premise Address: ~ *cc u r; i Block: t `U Resident mme Name of Building: Lot: 0245 Mix UseD OtherD g of Stories: AKA's:3o - l o Cr o\c ST 35 ' 3~ ~fEJtACF 5-r 3 - aH4gg( Building Owner/Management T lephone Number ( ) / - Gw Name:-o C/o 4uo i t , tz T FAX: Address: o i C) On Site Contact: Name: ' ' ' ~ ~~~~ I Telephone Number Building Owner Management Ac sties Interior Survey Performed Exterior Survey Performed General Clean Up 8 8 Yes No Yes No Yes No Locations: ACM Clean Up g Yes No Locations: Air Monitoring D Yes D No Locations: Copies of All Reports and Data Requested fl Yes

Visual Inspection Results: Facade: Ins cted Debris

H North L3 N/A es H No No Visible/Fine Layer %to1' 1' South D N/A a -Yes No o Visible/Fine Layer % to 1' > 1' East N/A es No No Visible/Fine Layer i4 to 1' > 1' West N/A J 'es No Visible/Fine Layer %tolu >1 ' Facade Description:

Roof Debris: /Fine Layer .D 3+4 to V D > 1' Description:

Setbacks P1/AD Floor___ Debris: No Visible/Fine Layer % to? Floor____ Debris: No Visible/Fine Layer 36 to 1' Floor Debris: No Visible/Fine Layer % to 1' Floor.___ Debris: No Visible/Fine Layer % to 1' Floor___ Debris: No Visible/Fine Layer % to? Comments

Inspection Team: Name: Agency: Name: Agency: ENTERED , t%

NYC-WTC 000094461