Invoice for exterior facade cleanup, Fiber Control Inc, Sept 2002

NYC 9/11 Public Portal Document

WTC Visual Survey Form Premise Address: . t~lt/6'~cZP - Block: ` Residential Commercial Name of Building: Lot: ~ Mix Use D Other # of Stories: 5 AKA's: Building Owner/Management: 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 ❑ Yes ❑ 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 0% to 1" 0> 1" South ❑ N/A ® Yes ❑ No ❑ No Visible/Fine Layer Q'/ to 1" 0>1" East ❑ N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer ❑%to 1" 0>1" West ❑ N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer ❑%to 1" 0>1' Facade Description: L.,1 'L['ws GJMl~.l 4~~y.-1"S •l Jl ~

Roof a, st v~ Debris: ❑ No Visible /Fine , va er E % to i," ? -~"' ❑ > 1" 1 Description: (nuc~c- rc r n- t 11 o,t 1

Setbacks N/A E] Floor. Debris: ❑ No Visible/Fine Layer 0 V to 1" ❑ > 1" 'Floor. Debris: ❑ No Visible/Fine Layer ❑ % to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer ❑ Va to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer ❑ V to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer ❑ % to 1" ❑ > 1" Comments

11sfe• I/ 77 MAA7 r ... ii.. .

Name: h c=am I t K Agency:

NYC-WTC 000100216