DEP and DOH letter regarding building maintenance

NYC 9/11 Public Portal Document

j 0 ~7y~o WTC Visual Survev Form PreMise'Address: lo 71y 3 Block: 11 ResidentialO Commercialfl Name of Building:) 0 71y'6 t Lot: - 9, Mix Use Other # of Stories: AKA's: Building Owner/Management Telephone Number. ( ) Name: FAX: Address: On Site Contact: Name: - - 0 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 E]'Y2 to 1" 11>1" South ❑ N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer ❑%2 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 0 ,14to1" 0>1" Facade Description:

Roof W"t; Debris: j No Visible /Fine ayer ❑ % to 1" -1 a'"" ❑ > 1" 1 Description:

Setbacks N/A Floor. Debris: ❑ No Visible/Fine Layer 0'/2 to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer ❑'/ to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer ❑ % to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer ❑% to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer ❑ h to 1" ❑ > 1"

Comments

Date: Inspection Team:. Name: ~L-- Agency: Name: Agency:

NYC-WTC 000101835