WTC environmental inspection form, 159 Maiden Lane, 2002

NYC 9/11 Public Portal Document

I -' WTC Visual Survav Form / 07 q05 0,f Premise Address: i

Block• Residentiak Commercial jj Name of Building: Lot: Mix Use 0 Other g of Stories: AKA's: Building ner/Mana en Telephone Number. ( ) Na FAX: Address: On Site Contact: Name: ' ' .' . Telephone Number Building Owner Management Activities Interior Survey Performed ❑ Yes ❑ No Exterior Survey Performed ❑ Yes ❑ No General Clean Up 0 Yes 0 No Locations: ACM Clean Up ❑ Yes 0 No Locations: Air Monitoring ❑ Yes ❑ No Locations: Copies of All Reports and Data Requested Yes

Visual Inspection Results: Facade: Inspected Debris North ❑ N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer ❑ % to 1 0>1' South ❑ N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer ❑ ~4 to 1' 0>1' East ❑ N/A ❑Yes ❑ No ❑ No Visible/Fine Layer ❑ % to l' 0>1' ❑Yes ❑ No ❑ 4 to 1' ❑ > 1' West ❑ N/A Facade Description: /) () _- No Visible/Fine Layer

Roof

Debris: No Visible /Fine Layer 034t01' 0>1' Description:

Setbacks N/A4jf Floor: Debris: ❑ No Visible/Fine Layer ❑ y4 to 1' 0>1' Floor:____ Debris: 0 No Visible/Fine Layer ❑ 6 to V 0>1' Floor____ Debris: 0 No Visible/Fine Layer ❑ ~4 to 1' 0>1' Floor: Debris: 0 No Visible/Fine Layer ❑ .4 to 1' > 1• Floor Debris: 0 No Visible/Fine Layer 0 % to 1' 0>1' Comments

Date: =/=12002 Inspection Team: Name: Agency. Name: Agency:

NYC-WTC 000100062