WTC visual survey form, 2 White Street

NYC 9/11 Public Portal Document

WTC Visual Survey Form /o v q 17 9 Pror:ise Address• Block: Residential Commercial Name of Building: Lot: , is Mix UseD 0therfl 0 of Stories: AKA's: Building Owner/Management Telephone Number ( ) Name: FAX: Address: On Site Contact: Name: ' ' Telephone Number. Building Owner Management Activities A.. Interior Survey Performed ❑ Yes Q No Exterior Survey Performed ❑ Yes No a

General Clean Up ❑ Yes ❑ No Locations: ACM Clean Up ❑Yes ❑ No Locations: Air Monitoring ❑ Yes ❑ No Locations: Copies of All Reports and Data Requested fl Yes

Visual Inspection Results: Facade: Inspected Debris North ❑ N/A ❑ YesQNo ❑ No Visible/Fine Layer ❑ % to 1 ❑ > 1' South ❑ N/A ❑ YesQNo ❑ No Visible/Fine Layer ❑%to 1' 0>? East ❑ N/A ❑ YesQNo O No Visible/Fine Layer ❑%to 1' 0>? West ❑ N/A ❑ YesQNo ❑ No Visible/Fine Layer 0%to1' ❑>1' Facade Description: /A A _ I

Roof Debris: Description: .Wo Visible /Fine Layer ❑3%to 1' 0>1•

Setbacks Wi Floor Debris: ❑ No Visible/Fine Layer ❑ % to? 0>1. Floor____ Debris: ❑ No Visible/Fine Layer 0 % to V 0>1. Floor . Debris: ❑ No Visible/Fine Layer ❑ % to V ❑ > 1' Floor. Debris: 0 No Visible/Fine Layer ❑ % to 1' ❑ > 1' Floor` Debris: 0 No Visible/Fine Layer 0 % to 1' 0>1. Comments A

Date: =/ I71200 Inspection Team: Name: — -- Agency: Name: _Agency:

NYC-WTC-000110089