WTC environmental inspection form, 47 West Street

NYC 9/11 Public Portal Document

WTC Visual Survey Form v, c s,L!t Premisge Addhess: , ) n — c p~ Block: Residential 0 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 ❑ Yes ❑ No Exterior Survey Performed 0 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 D Yes

Visual Inspection Results: Facade: Inspected Debris North ❑ N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer ❑ % to l" 0>1" South ❑ N/A Yes ❑ No ❑ No Visible/Fine Layer ❑Y2to 1" 0>1" East ❑ N/A Yes ❑ No Ao Visible/Fine Layer ❑Yato1" 0>1" West ❑ N/A OVesONo ❑ No Visible/Fine Layer ❑%to1" 0>1" Facade Description:

Roof

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

Setbacks N/A ❑ Floor: Debris: 0 No Visible/Fine Layer ❑ Va to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer ❑ % to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer ❑ a to 1" ❑ > 1" Floor. Debris: ❑ No Visible/Fine Layer ❑ % to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer ❑ a to 1" ❑ > 1" Comments [✓I t t

Date: Inspection Team: Name: Agency: VU ► Name: Agency:

NYC-WTC 000110027