WTC building inspection form, exterior condition documentation

NYC 9/11 Public Portal Document

100100(p WTC Visual Survey Form Premise Address: W LLIA ST Block: #Q I Residential Commercial E I Name of Building: Lot: IC. Mix Use ❑ Other aL C # of Stories: AKA's: Building Own r!M agement: Telephone Number: Ø . - /37 Name: v C- t-Q~ ' Address: \ vw On Site Contact: Name: - t"K Telephone Number: ( la) ct -a SO 1 Building Owner Management Activities Interior Survey Performed ❑ Yes ❑ No Exterior Survey Performed []Yes ❑ No General Clean Up ❑ Yes ❑ No Locations: ACM Clean Up ❑ Yes ❑ No Locations: Air Monitoring ❑ Yes ❑ No Locations: Copies of All Reports and Data Requested ❑ Yes

Visual Inspection Results: Facade: Inspected Debris North ❑ N/A Yes ❑ No ❑ No Visible/Fine Layer ❑'/2 to 1" South ❑ N/A Yes ❑ No ❑ No Visible/Fine Layer ❑ '/2 to 1"

East ❑ N/A [Yes ❑ No ❑ No Visible/Fine Layer ❑'/2 to 1" West ❑ N/A DYes ❑ No ❑ No Visible/Fine Layer ❑ '/2 to 1"

Facade Description:

Roof u~~~ c1cX~~S - L.\*-'- 'jr :: iil~C Q p Debris: ❑ No Visible /Fine Layer ~ /2 to 1^ ❑ >1 S ~ u Q.~\ c~ Description: . y-ncA \r. iS (ooLQ

Setbacks N/A' - Floor: Debris: ❑ No Visible/Fine Layer 0 '/2 to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer ❑ '/2 to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer ❑ '/2 to 1" ❑> 1" Floor: Debris: ❑ No Visible/Fine Layer ❑ Y2 to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer 0 '/2 to 1" 0>1"

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Date: / /2002 Inspection by: Name:T Agency: G P / Name: Agency:

NYC-WTC- 000110251