WTC facade inspection form, 34 Whitehall Street

NYC 9/11 Public Portal Document

ipooOt1 WTC Visual Survey Form P:remise Address: i S ~_ n ^ ~ " off— e - / Block: Residential Commercial D Name of Buildin Lot: / Mix Use Other # of Stories: AKA's: Building Owner/Management: Telephone Number. ( ) Name: V LLC. FAX: Address: On Site Contact Name: - - MI _ Telephone Number. Building Own r Management Activities Interior Survey Performed ❑ Yes Q No Exterior Survey Performed ❑ Yes Q No General Clean Up 0 Yes Q No Locations: ACM Clean Up Q Yes Q No Locations: Air Monitoring Q Yes ❑ No Locations: Copies of All Reports and Data Requested fl Yos

Visual inspection rcesuits: Facade: Inspected Debris North ❑ N/A ❑ Yes 0 No ❑ No Visible/Fine Layer ❑ 14 to 1 9>1. South ❑ N/A ❑ Yes Q No ❑ No Visible/Fine Layer ❑ i4 to 1' 0>1. East ❑ N/A ❑ Yes Q No ❑ No Visible/Fine Layer ❑ % to 1' 0>1- West ❑ N/A ❑ Yes Q No ❑ No Visible/Fine Layer 034t01' 02, 11' Facade Description: C Roof

Debris: No Visible /Fine Layer 914 to 1' 0>1 Description:

Setbacks N/A ( Floor. Debris: Q No Visible/Fine Layer ❑ 14 to 1" ❑ > 1' Floor Debris: Q No Visible/Fine Layer 014 to 1' ❑ > 1' 'Floor. Debris: Q No Visible/Fine Layer ❑ 3h to 1' 0> 1' Floor Floor: Debris: Q No Visible/Fine Layer ❑ 3h to 1' Debris: 0 No Visible/Fine Layer 91,4 to V 8:1. > 1' 1'

Date: 1 12002 Inspection Team: Name: Agency: Name: Agency: ENTERED

NYC-WTC 000110154