WTC environmental inspection form, 47 West Street

NYC 9/11 Public Portal Document

WTC Visual Survey Form Premise Address: _ , ) /~. ~D 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 ❑ Yes ❑ No General Clean Up ❑ Yes ❑ No Locations: ACM Clean Up ❑ Yes 0 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 ❑Mato 1" 0>1' South ❑ N/A YesONo ❑ No Visible/Fine Layer ❑Y2tol" 0>1" East 0 N/A Yes ❑ No Ao Visible/Fine Layer ❑ a to l" 0>1' West ❑ N/A DYesDNo ❑ No Visible/Fine Layer ❑ % to l" 0>1" Facade Description:

Debris: 0 No Visible /Fine Layer ❑ Ya to 1" ❑ > 1" Description:

Setbacks N/A ❑ Floor. Debris: ❑ No Visible/Fine Layer ❑ 34 to 1" ❑ > 1" Floor. Debris: 0 No Visible/Fine Layer ❑ i4 to 1" ❑ > 1" Floor. Debris: ❑ No Visible/Fine Layer ❑'4 to 1" ❑ > 1" Floor. Debris: ❑ No Visible/Fine Layer ❑'h to 1" ❑ > 1" Floor. Debris: ❑ No Visible/Fine Layer ❑ % to 1" ❑ > 1"

Comments O\u L4e — t .

Date: I ')4 12002 Inspection Team: Name: Agency: Name: Agency:

NYC-WTC-000110031