WTC inspection form for 251 Water Street, 2002

NYC 9/11 Public Portal Document / -- - _- _- - i -

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WTC Visual Survey Form (00 13'! q Premise Address: cj

Block: Residential D Commercial Name of Building: Lot: Mix Use Other L # of Stories: AKA's: 2. cic Building Owner/Managementt Telephone Number. ( ) Name: S FAX: Address: On Site Contact Name: Telephone Number. Building Owner Management Activities interior Survey Performed ❑ Yes a No Exterior Survey Performed ❑ Yes Q 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 DYes

Visual inspection Results: Facade: Inspected Debris North NIA r] Yes ❑ No ❑ No Visible/Fine Layer ❑ % to 1" 9>1 South O NIA Yes ❑ No No Visible/Fine Layer ❑/tol" 0>1" East ❑N/A gYesQNo No Visible/Fine Layer ❑ h to l" 0>1" West [] N/A [] Yes Q No No Visible/Fine Layer 0%to1" []>1" Facade Description: n ()

Roof Debris: No Visible /Fine Layer E]h to 1" 9> 1" Description:

Setbacks N/A Floor. I Debris: t] No Visible/Fine Layer ❑ 34 to 1" ❑ > 1" Floor. Debris: Q No Visible/Fine Layer ❑ '4 to 1" ❑ > 1" Floor. Debris: [] No Visible/Fine Layer 34 to V ❑ >1" Floor. Debris: No Visible/Fine Layer '4 to V 9> 1" Floor. Debris: No Visible/Fine Layer 34 to l" [J> 1" I Comments

Date: 4I 1AI2002 Inspection Team: Name: Agency: T E R SC Name: Agency:_______ E N —.-----------S- -

NYC-WTC 000109554