WTC building inspection form, 14 Maiden Lane

NYC 9/11 Public Portal Document

WTC Visual Survey Form BI'j 100 I0 I y Mande n Lane. Premise Address:

Block: (o Residential 0 Commercial Name of Building: Lot: g 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 Debris North ❑ N/A ❑ Yes ❑ No No Visible/Fine Layer ❑'/to1" 0>1" South ❑ N/A ❑ Yes ❑ No No Visible/Fine Layer ❑%to1" 0>1" East ❑ N/A ❑ Yes ❑ No No Visible/Fine Layer ❑ % to 1" 0>1" West ❑ N/A ❑ Yes ❑ No No Visible/Fine Layer ❑%to1" 0>1" Facade Description:

Roof

Debris: No Visible /Fine Layer ❑ % to 1" 0>1" Description:

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

Comments

Date: cQ / 15 /2002 Inspection by: Name: ,4P Agency: DEP Name: Agency:

NYC-WTC 000101937