WTC environmental inspection form, 75 West Street

NYC 9/11 Public Portal Document

WTC Visual Survey Form Premise Address: Q (4V L /0 4 % Block: Residentia1.L Commercial Name of Building: Lot: Mix Use Ot er # 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 0 Yes ❑ No Exterior Survey Performed 0 Yes 0 No General Clean Up ❑ Yes 0 No Locations: ACM Clean Up ❑ Yes Q No Locations: Air Monitoring ❑ Yes ❑ No Locations: Copies of All Reports and Data Requested Yes

Visual Inspection Results: Facade: n ected De $ North 0 N/A es Q No o Visible/Fine Layer ❑'h to 1" ❑ > 1" South 0 N/A es Q No No Visible/Fine Layer ❑ % to 1" ❑ > 1" East +l/A ❑ Yes Q No ❑ No Visible/Fine Layer ❑ h to 1" 0>1" West ❑ N/A es ❑ No Visible/Fine Layer 0 Y to 1" ❑ > 1" Facade Description: //

Roof

Debris: o Visible /Fine Layer ❑'h to 1" ❑ > 1" Description: VS ,4 t W.P) fr

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

Comments

(— Date: Inspection Team: Name: LI? ' Agency: Name: Agency:

NYC-WTC 000110047