WTC Facade Inspection Form, 161 Maiden Lane, 2002

NYC 9/11 Public Portal Document

•I.~D 1U 3 WTC Visual Survey Form 4-c Po ise Address: 1 V1'l Qv.. Block:? L. Res dential 0 CommercialD Name of Building: Lot: 2 Mix UseD Other # of S ories: AKA's: Building Owner anagement Telephone Number: Name: FAX: Address: On Site Contact Name: - ' .. Telephone Number. Building Owner Management Activities Interior Survey Performed ❑ Yes 0 No Exterior Survey Performed ❑ Yes ❑ No General Clean Up 0 Yes ❑ No Locations: ACM Clean Up ❑ Yes ❑ No Locations: Air Monitoring [] Yes ❑ No Locations: Copies of All Reports and Data Requested p Yes

Visual Inspection Results: Facade: ns ected De s North ❑ N/A s ❑ No o Visible/Fine Layer 034101' ❑ > 1' South ❑ N/A es ❑ No o Visible/Fine Layer ❑ i4 to 1' ❑ > 1' East ❑ N/A es ❑ No o Visible/Fine Layer ❑ h to 1' ❑ > 1' West ❑ N/A Yes ❑ No No Visible/Fine Layer ❑'/a to 1" ❑ > 1" Facade Description:

Roof

Debris: 0 No Visible /Fine Layer 934 to 1' 0>1' Description:

Setbacks N/A ❑ Floor. Debris: 0 No Visible/Fine Layer 916 to 1' 0>1' Floor. Debris: 0 No Visible/Fine Layer ❑ % to 1' 0>1' Floor: Debris: ❑ No Visible/Fine Layer 034101' 0>1' Floor. Debris: 0 No Visible/Fine Layer 034t01' 0>1' Floor. Debris: 0 No Visible/Fine Layer [] h to 1' 0>1' Comments

Date: Inspection Team: Name: (/d V " Agency: Name: Agency: ENTERED

NYC-WTC 000100072