WTC environmental inspection form, 75 West Street

NYC 9/11 Public Portal Document

WTC Visual Survey Form Premise Address: c - (/1LOS' -

Block: R sidential D Commercial Name of Building: Lot: MixUseD Other # of Stogies: 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 0 Yes ❑ No Locations: ACM Clean Up ❑ Yes ❑ No Locations: Air Monitoring ❑ Yes 0 No Locations: Copies of All Reports and Data Requested Yes

Visual Inspection Results: Facade: 1 pected Debris North N/A 'es ❑ No $lo Visible/Fine Layer ❑Ytol" 0>1" South ` N/A Yes ❑ No fl No Visible/Fine Layer ❑Y2to1" 0>1" East ❑ N/A D es ❑ No o Visible/Fine Layer ❑'/:tor 0>1" West /A ❑ Yes 0 No No Visible/Fine Layer 0/:to1" 0>1" Facade Des Lion:

Roof

Debris: o Visible /Fine Layer ❑ A to 1" 0>1" Description: ~9 ~~, 4 , I

Setbacks N/A ❑ 1 1 ~J Floor. Debris: ❑ No Visible/Fine Layer ❑'/a to 1" ❑ > 1" Floor. Debris: 0 No Visible/Fine Layer ❑% to 1" ❑ > 1" Floor. Debris: 0 No Visible/Fine Layer 036 to 1" ❑ > 1" Floor Debris: ❑ No Visible/Fine Layer ❑'/a to 1" ❑ > 1" Floor. Debris: ❑ No Visible/Fine Layer ❑ i4 to 1" ❑ > 1"

Comments

Date: Inspection Team: Name: t- ' N " — Agency::~ C '' Name: Agency:

NYC-WTC 000110048