WTC inspection form, 22 Whitehall Street, undated

NYC 9/11 Public Portal Document

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WTC Visual Survey Form Premise Address: PLct?V tóM Block: Residential Com cial Name of Building: Lot: 4.Mix UseD Other # of Stories: AKA's: Building Own Manageçnen • , Telephone Number: ( ) Name: K / ~-c I FAX: Address: On Site Contact: Name: " Telephone Number: Building Owner Management Activities Interior Survey Performed 0 Yes ❑ No Exterior Survey Performed ❑ Yes ❑ No General Clean Up 0 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 ❑ Yes D No ❑ No Visible/Fine Layer Q 1Ato 1" 0>1" S South ❑ N/A. ❑YesQNo ❑ No Visible/Fine Layer ❑'Atol" 0>1" East ❑ N/A ❑YesQNo ❑ No Visible/Fine Layer ❑%tol" 0>1" West ❑ N/A []YesQNo ❑ No Visible/Fine Layer ❑Y,to l" 0>1" ( r Facade Description: IS C

Roof

Debris: CNo Visible /Fine Layer ❑ 1/2 to 1" , ❑ > 1" Description:

Setbacks Floor. Debris: ❑ No Visible/Fine Layer 0'4 to 1' 0>1" Floor. Debris: 0 No Visible/Fine Layer ❑ % to 1' 0>1" Floor: Debris: 0 No Visible/Fine Layer ❑ Y: to 1" ❑ > 1" • Floor. Debris: 0 No Visible/Fine Layer ❑ 4 to 1" 0>? • Floor. Debris: ❑ No Visible/Fine Layer ❑ 4 to 1" ❑ > 1"

Comments

R En r Date: If/t~902 Inspection Team: Name: Agency: Name: Agency:

NYC-WTC 000110136