WTC exterior inspection form, Oct 2002

NYC 9/11 Public Portal Document

WTC Visual - -- Survw — -- - — Fnr,n — z:.r,~,A..r 1170 — - %o - '9 v ...-•.: DfèmlseAddress:

Block: Residential Commercial Name of Building: Lot Mix Use Other — # of S ories: AKA's: Building Owner/Management; Telephone Number ( ) Name: FAX: Address: On Site Contact Name: Telephone Number t Building Owner Management Activities Interior Survey Performed ❑ Yes No Exterior Survey Performed ❑ YesE] No General Clean Up 0 Yes Q No Locations: ACM Clean Up ❑ Yes ❑ No Locations: Jr Monitoring ❑Yes❑ No Locations: • Copies of All Reports and Data Requested DYes Visual Inspection Results:

Inspected Debris North 0 N/A Q Yes 0 No ❑ No Visible/Fine Layer ❑ 34 to 1' 9>1 South 0 N/A ❑Yes❑•No 0 No Visible/Fine Layer ❑ 14 to 1' 0>1 . East [] N/A ❑ Y ❑ No ❑ No Visible/Fine Layer ❑ 14 to 1' 0>1w > 1' West ❑ N/A es Q No ❑ No Visible/Fine L aver to 1' Facade Description: D>1•

Roof

Debris: 0 No Visible /Fine Layer ❑ 34 to V Description: -0>?

Setbacks N/A ❑ Floor: Debris: 0 No Visible/Fine Layer ❑ % to 1" 0>10 Floor: Debris: ❑ No Visible/Fine Layer ❑ % to? 0>1 Floor: Debris: 0 No Visible/Fine Layer ❑ % to 1" ❑>10 Floor: Debris: 0 No Visible/Fine Layer ❑ 34 to 1 0>10 Floor: Debris: Q No Visible/Fine Layer ❑ 14 to 1' 0>? Comments

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Date: 3 l_ . 12002 Inspection by: Name: Name: /91L Agency:_________ Agency:

NYC-WTC 000110944