Block: Resi ential Com a ci N e TBU?4~lnn
Lot: Mix Use J Other 6
# of Stories: AKA's: 9 W
Building Owner{ anageeent: t ----------------------
Telephone Number: (7
Name: vA~ l~ -0 \ - ~ FAX: ( P
Address:
On Site Contact: `,~c
Name: ' lf' ` K x Telephone Number: (Z 1 t)23 5 (;1 (,
Building Owner Management 9ctivlties
Interior Survey Performed es ❑ No
Exterior Survey Perfo d Yes [] No ,,
General Clean Up Yes No Locations: 9- "'
" -7 (T)
ACM Clean Up ❑ Yes ❑ No Locations:
Air Monitoring ❑ Yes ❑ No Locations:
Copies of All Reports and Data Requested es
Visual Inspection Results:
Facade:
In~ppected De ris
North ❑ N/A . Yes ❑ No N NoVisibleIFine Layer ❑ % to 1" 0>1"
South ❑ N/A Yes ❑ No o Visible/Fine Layer ❑'/ to 1" ❑ > 1"
East ❑ N/A es ❑ No No Visible/Fine Layer ❑'/ to 1" ❑ > 1"
West ❑ N/A Yes ❑ No No Visible/Fine Layer ❑ % to 1" ❑ > 1"
Facade Description:
Roof
Debris: No Visible /Fine Layer ❑ V 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"
Date: `L /2002 Inspection Team: Name: ` i r Agency/- J
fl
Name: Agency:
c-~
NYC-WTC 000109739
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NYC-WTC_000109739Source: NYC Law Department, mirrored locally