WTC facade inspection form, 1 Whitehall Street

NYC 9/11 Public Portal Document

WTC Visual Survey Form Premise Address: . 5 '

U Block: FesidentiaID CommercialD 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 D No Exterior Survey Performed ❑ Yes D No General Clean Up ❑ YesD No Locations: • •f ACM Clean Up ' ❑ Yes D No Locations: Air Monitoring ❑ Yes D No Locations: Copies of All Reports'and Data Requested DYes

Visual Inspection Results: , Facade: Inspected Debris North ❑ N/A ❑ Yes D No ❑ No Visible/Fine Layer D % to l" 0>1" South D N/A D YesD No ❑ No Visible/Fine Layer D r to l" 0>10 East D N/A D Yes D No ❑ No Visible/Fine Layer Dvtol" 0>1" West D N/A D YesD No ❑ No Visible/F e Layer DYato 1" 0>10 Facade: Description: t 1s C Roof

Debris: o Visible /Fine Layer ❑ % to 1" 0>1" Description:

Setbacks N/A ❑ U 'J 1 Floor. Debris: No Visible/Fine Layer to 1' ❑ > 1" Floor. Debris: D No Visible/Fine Layer ❑ % to 1" ❑ > 1' Floor. Debris: D No Visible/Fine Layer D'/: to 1' ❑ > 1' Floor: Debris: D No Visible/Fine Layer ❑'/a to 1" ❑ > 1" • Floor. Debris:D No Visible/Fine Layer ❑ i4 to 1" D > 1" Comments

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.•••._ I Date: • IJ9iio002 e!rQpection Team: Name: Name: I Agency: Agency:

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