WTC inspection form for 279 Water Street, 2002

NYC 9/11 Public Portal Document

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- WTC Visual Survey Form Premise Address: Block: 16 ,()- Residential 0 CommerciaY Name of Building: Lot: Mix Use 0 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 0 No Exterior Survey Performed ❑ Yes 0 No General Clean Up ❑ Yes 0 No Locations: ACM Clean Up ❑ Yes 0 No Locations: Air Monitoring ❑ Yes 0 No Locations: Copies of All Reports and Data Requested Yes

Visual Inspection Results: Facade: Inspected Debris North N/A 9Yes 0 No 0 No Visible/Fine Layer ❑ to 1" [] > 1" South 0 N/A 0 Yes 0 No No Visible/Fine Layer ❑ 4 to 1' 0>1. East 0 N/A ❑ Yes 0 No BNoVisible/Fine Layer ❑ % to 1' ❑ > 1' West 0 N/A L] Yes 0 No ❑ No Visible/Fine Layer 934 to 1" 9> 1' Facade Description: l ' 4) Roof Debris: l Visible /Fine Layer 934 to 1' 9>1' Description:

Setbacks N/A[ Floor. Debris: ❑ No Visible/Fine Layer ❑ % to 1' 9>1' Floor. Debris: 0 No Visible/Fine Layer 34 to 1' 9>1' Floor. Debris: [j No Visible/Fine Layer 34 to 1' 0>1' Floor. Debris: No Visible/Fine Layer 16 to 1" D> 1' Floor. Debris: No Visible/Fine Layer 34 to 1" 0>1' Comments

Date: 1 /2002 Inspection Team: Name: Agency: Name: Agency:__________ A NT ERA

NYC-WTC 000109542