DEP request letter, 75 West Street, Feb 2002

NYC 9/11 Public Portal Document

WTC Visual Survey Form , ; Premise Address: C v _ > i,,) P Block: ResidentiaLL Commercial j Name of Building: Lot: Mix Use fl Other # of Stories: AKA's: Building Owner/Management: Telephone Number: ( ) Name: FAX: Address: On Site Contact: Name: S Telephone Number: ) Building Owner Management Activities Interior Survey Performed ❑ Yes ❑ No Exterior Survey Performed ❑ Yes ❑ No General Clean Up Q Yes 0 No Locations: ACM Clean Up ❑ Yes Q No Locations: Air Monitoring ❑ Yes ❑ No Locations: Copies of All Reports and Data Requested p Yes

Visual Inspection Results: Facade: Inspected Debris North 0 N/A Yes ❑ No '' -Jo Visible/Fine Layer ❑ Va to 1" ❑ > 1" South ❑ N/A ,safes 0 No • Q No Visible/Fine Layer 0 % to 1" ❑ > 1" East I/A ❑ Yes ❑ No ❑ No Visible/Fine Layer ❑ % to 1" ❑ > 1" West' ❑ N/A es 0 No ['lo Visible/Fine Layer ❑Va to 1" ❑ > 1" Facade Description: 5'

Roof

Debris: [ ?Jo Visible /Fine Layer ❑ Ys to V ❑ > 1" Description: \\ -1 .~- ) 44

; Setbacks N/A ❑ Floor: Debris: ❑ No Visible/Fine Layer ❑ 34 to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer ❑ Va to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer ❑ 34 to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer ❑'h to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer ❑ % to 1" ❑ > 1" • Comments is

Date: '/ /' 12OO2J Inspection Team: Name: Agency: : Name: Agency:

NYC-WTC-000110060