WTC visual survey form, 8-10 White Street

NYC 9/11 Public Portal Document

i WTC Visual 'Survey Form /ä,2171 Premj4, Address: 4 Block: / TI Residential Commercial Name of Building: Lot ,o Mix UseD OtherjJ # 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 0 No a, Exterior Survey Performed 0 Yes 0 No General Clean Up U Yes 0 No Locations: ACM Clean Up ❑ Yes 0 No Locations: Air Monitoring 0 Yes 0 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 O %to 1' 0>1' ❑1Ato1' 0>1' South East West ❑ N/A 0 N/A 0 N/A OYesDNo DYesDNo ❑ YesQNo R No Visible/Fine Layer No Visible/Fine Layer ❑ No Visible/Fine Layer 0'A to 1' 0>1' ❑ % to 1' 0>1' Facade Description: () (~

Roof Debris: eNo Visible /Fine Layer -0 % to 1' ❑ > 1' Description:

Setbacks N/A Floor _ . Debns. 0 No VisibleFine Layer ❑ 72 ts 1 ❑ >1 Floor Debris: 0 No Visible/Fine Layer ❑ % to 1' ❑ > 1' Floor____ Debris: 0 No Visible/Fine Layer % to 1' ❑ > 1' Floor Debris: 0 No Visible/Fine Layer ❑ 1 to 1' ❑ > 1' Floor____ Debris: 0 No Visible/Fine Layer Q 14 to 1' D >1' Comments

Date: A - 1)2002 Inspection Team: Name: Agency: Name: Agency:

NYC-WTC 000110103