WTC exterior inspection form with setbacks

NYC 9/11 Public Portal Document WTC Visual Survey Form Promise Address: 5- 9 esidentiai M Name o Bul ng: Block: Lot Mix Use Other fl rL,~, * of Stories: AKA's: Building Owner/Management Telephone Number. ( ) Name: F - FAX: Address: On Site Contact: Name: " ' "' Telephone Number. Building Owner Management Activities Interior Survey Performed fl Yes No ► g 6,,~,. • Exterior Survey Performed Yes No General Clean Up TiYes fl No Locations: 8 ACM Clean Up Yes No Locations: Air Monitoring u YesU No Locations: Copies of All Report. and Data Requested Dyes Visual Inspection Results:

Inspected Debris North N/A Yes No No Visible/Fine Layer '!, to 1' South N/A s No o Visible/Fine Layer 14 to 1' V East N/A Yes No No Visible/Fine Layer % to 1'VF30 West N/A Yes No No Visibte/Floe Layer %tol' 1' Facade Description:

Roof Debris: 13 No Visible JFtne Layer .j to1' Cal' _

eke WAD Floor:___, . Debris: No Visible/Fine Layer )4 to1' al' Floor_ Debris: No Visible/Fine Layer 14 to1' a 1' Floor:__ Debris: No Visible/Fine Layer 14 to1' a 1' Floor:,___ Debris: No Visible/Floe Layer %to1' al' Floor:__„ Debris: No Visible/Flne Layer Ne to1' >1' Comments

Dab: 2 1./ 6 J2001 Inspec ionTeam: Name: C. f/ Agency: Nam: Agency:

NYC-WTC 000099604