WTC environmental inspection form, 161 Maiden Lane, 2002

NYC 9/11 Public Portal Document

t WTC Visual Survey Form 1aoo37'1 PrertL Address: a4 L Block: Resi ential LI Commercial Name of Building: Lot: j3 Mix Use 0 Other # of Stories: AKA's: Building Owner/Management: Telephone Number: ( ) Name: w OIM t FAX: Address: On Site •Contact: (' ,. Name: ~ `~ C& Telephone Number: 'D 14o —-(3 Building Owner Management ActWiti98 Interior Survey Performed ❑ s Q No Exterior Survey Performed es ❑ No General Clean Up ❑ Yes Locations: ACM Clean Up ❑ Yes UNo Locations: Air Monitoring []Yes Q F o Locations: Copies of All Reports and Data Requested 0 Yes

Visual Inspection Results: Facade: Inspected Debris North ❑ N/A es ❑ No Q] No Visible/Fine Layer 0V: to 1" 0>1" South ❑ N/A Des ['No Visible/Fine Layer ❑%to 1" 0>1" East ❑ N/A r es ❑ No ❑'No Visible/Fine Layer ❑%to 1" 0>1" West ❑ N/A Yes 0 No ©'No Visible/Fine Layer ❑%to1" 0>1" Facade Description:

Roof

Debris: No Visible /Fine Layer ❑ % to 1" ❑ > 1" Description:

Setbacks N/A Q" Floor: Debris: 0 No Visible/Fine Layer 03410 1" 0>1" Floor: Debris: ❑ No Visible/Fine Layer ❑ % to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer ❑ Va to 1" ❑ > 1" Floor: Debris: 0 No Visible/Fine Layer ❑ Va to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer 03410 1" ❑ > 1"

Comments

Date: / \ /200 Inspection Team: Name: v Agency: V Name: Agency:

NYC-WTC 000100078