WTC building inspection form, 9 Maiden Lane

NYC 9/11 Public Portal Document

WTC Visual Survey Form / 00(0 ' 5' Premise Address: '?—k\ -i Block: ( 5 Residentiat Commercial D Name of Building: Lot: p Mix Use J Other # of Stories: 1c5 AKA's: Building OwnerIManagen1entj _._ ._._.a_.►._._._._._._._._._._._._._._._._._._._._. Telephone Number:, P11 Name: Address: On Site Con Name: Telephone Number: —0 3 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 J Yes

Visual Inspection Results: Facade: In pected Debris North ❑ N/A [ Yes ❑ No ❑ No Visible/Fine Layer ft/ to 1" ❑ > 1" South ❑ N/A 'Yes ❑ No ❑ No Visible/Fine Layer 0'/2 to 1" ❑ > 1" East ❑ N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer ❑ % to 1" ❑ > 1" West ❑ N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer ❑ % to l" [J>1" Facade Description:

Roof

Debris: ❑ No Visible /Fine aYer ~ /2 to 1" •1 : ❑ > 1" '~ •~"'~ Description:

Setbacks N/A ❑ Floor: Debris: ❑ No Visible/Fine Layer 9'f/2 to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer ❑ /2 to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer ❑ V to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer ❑ V to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer ❑ /2 to 1" ❑ > 1"

Comments

Date: / / 31 /2002 Inspection Team: Name: t®.nrliiArrrz.t u ico6 Agency: POa Name: Agency: 6

N T 3

NYC-WTC 000101887