WTC building inspection form, 9 Maiden Lane

NYC 9111 Public Portal Document

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WTC Visual Survey Form BN -` 1001 O'8 Premise Address: q_ l Mai 3 den Block: Residential 0 Commercial j j (`•Name of Building: Lot: 10 Mix Use J Other # of Stories: 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 ebris North ❑ N/A ❑ Yes ❑ No fl No Visible/Fine Layer ❑Vato 1" 0>1" South ❑ N/A ❑ Yes ❑ No No Visible/Fine Layer ❑vato1" 0>1" East ❑ N/A ❑ Yes ❑ No No Visible/Fine Layer ❑Yato1" 0>1" West ❑ N/A ❑ Yes ❑ No No Visible/Fine Layer ❑%ato1" 0>1" Facade Description:

Roof

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

Setbacks N/A ❑ Floor. Debris: ❑ No Visible/Fine Layer ❑ Ya to 1" ❑ > 1" Floor. Debris: ❑ No Visible/Fine Layer ❑ %a to 1" ❑ > 1" Floor. Debris: ❑ No Visible/Fine Layer ❑ %a to 1" ❑ > 1" Floor. Debris: ❑ No Visible/Fine Layer ❑ Va to 1" ❑ > 1" Floor. Debris: ❑ No Visible/Fine Layer ❑ % to 1" ❑ > 1"

Comments

Date: Q/ IS /2002 Inspection by: Name: !\ P Agency: DE Name: Agency:

NYC-WTC 000101888