WTC facade inspection form, 33 Whitehall Street

NYC 9/11 Public Portal Document

WTC Visual Survey Form 'Premise Address: ~ Y/ Block: Reside tial Comme j Name of Building: Lot: y Mix UseD OtherlJ # of Stories: AKA's: Building Owner/Ma Telephone Number. ( Name: FAX:( Address: On Site Contact Name: ' Telephone Number. Building Owner Management Activities Interior Survey Performed ❑ Yes Q No Exterior Survey Performed ❑ Yes ❑ No General Clean Up ❑ Yes Q No Locations: ACM Clean Up ❑ Yes Q No Locations: Air Monitoring Q Yes Q No Locations: Copies of All Reports and Data Requested j Yes

Visual Insoectlon Results: Facade: Inspected Debris North [] N/A Q Yes 0 No ❑ No Visible/Fine Layer ❑ ~4 to 1" Q > 1" South ❑ N/A Yes 0 No 0 No Visible/Fine Layer ❑ 3~4 to 1" ❑ > 1" East ❑ N/A HYesoNo ❑ No Visible/Fine Layer ❑ h to V Q > 1" West ❑ N/A Q %es Q No ❑ Np Visible/Fine Layer 034t01' D>1• Facade Description: () u

Roof

Debris: Visible /Fine Layer r] % to V Q >V Description:

Setbacks N/A Floor.____ Debris: ❑ No Visible/Fine Layer %to 1" D> 1" Floor____ Debris: 0 No Visible/Fine Layer H%tolo > 1" Floor. Debris: 0 No Visible/Fine Layer ❑ % to 1" > 1" Floor Debris: Q No Visible/Fine Layer 36 to 1" > 1" Floor____ Debris: Q No Visible/Fine Layer H%tolw Q > 1"

Comments

Date: -/ r2 2. 0 Inspection Team: Name: Agency: Name: Agency:

NYC-WTC-000110145