WTC Facade Inspection Form, 161 Maiden Lane, 2002

NYC 9/11 Public Portal Document

WTC Visual Survey Form Prer:lise Address: i

Block: Residential Commercial Name of Building: Lot Mix Use Other # of Stories: AKA's: Building ne /Mane ant~ Telephone Number. ( ) Name: - 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 ❑ 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 ❑'A to 1' 0>1. West ❑ N/A n ❑Yes ❑ No ❑ No Visible/Fine Layer ❑ i4 to 1' 0>1' Facade Description: f

Roof Debris: No Visible /Fine Layer .❑ 4 to 1' 0>1. Description:

Setbacks N/A lT Floor___ ❑ No Visible/Fine Layer ❑ % to 1' 0>1' Floor. Debris: 0 No Visible/Fine Layer 'A to V 0>1' Floor Debris: 0 No Visible/Fine Layer g'A to 1' ❑ > 1' Floor Debris: ❑ No Visible/Fine Layer 014 to 1' J> 1' Floor Debris: 0 No Visible/Fine Layer 16 to 1' U> 1' Comments

Date: =1 12002 Inspection Team: Name: Agency: Name: Agency:

NYC-WTC 000100068