WTC inspection form for 275 Water Street, 2002

NYC 9/11 Public Portal Document

WTC Visual Survey Form Premise Address:

Block: Residential D Commercial Name of Building: Lot Mix UseD 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 rl 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: Ins ected DebrIs North Q1tA es No o Vsible/Fine Layer ❑ 14 to 1' 0> 1" South Yes g No No Visible/Fine Layer ❑ h to 1" > 1" East ❑ N/A 9YesDNo o Vsible/Fine Layer ❑ 4 to 1' > 1" West ❑ NIA r] Yes ❑ No ff ,, Visible/Fine Layer No ❑ % to 1' 0:1- 1" Facade Description:

Roof Debris: ~o Visible /Fine Layer _❑ % to 1" ❑ > 1" Description:

Setbacks N/A❑ Floor Debris: ❑ No Visible/Fine Layer ❑ % to 1" ❑ > 1' Floor Debris: No Visible/Fine Layer [] 34 to 1' >1. Floor. Debris: No Visible/Fine Layer ❑ 34 to 1' >1' Floor Floor 8 Debris: No Visible/Fine Layer % to 1' Debris: No Visible/Fine Layer E] 14 to 1' > 1' > 1' Comments

Date: /20 12002 Inspection Team: Name: _- W Agency: Name: n OV1LD Agency:

NYC-WTC 000109533