WTC environmental inspection form, 75 West Street

NYC 9/11 Public Portal Document

F. - t WTC Visual Survey Form ; Premise Address: ç 1Q c ( 0

Block: ResidentiaLL 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 ❑ No Locations: Air Monitoring 0 Yes ❑ No Locations: Copies of All Reports and Data RequestedD Yes

Visual Inspection Results: Facade: Inspected Debris North ❑ N/A O Yes ❑ No Visible/Fine Layer ❑%to1" 0>1" South ❑ N/A mo't'es ❑ No •-© No Visible/Fine Layer ❑Y2to1" 0>1" East N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer ❑ % to l" 0>1" West ❑ N/A es ❑ No Rio Visible/Fine Layer ❑'/to1" 0>1" Facade Description:

Roof

Debris: [ 'FVo Visible /Fine Layer ❑'/ to 1" ❑ > 1" Description:

Setbacks N/A ❑ 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 ❑ % to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer ❑ % to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer ❑ % to 1" ❑ > 1" Comments

L Date: / /2002 Inspection Team: Name: Agency: Name: Agency:

NYC-WTC-000110049