WTC inspection form, 1 Worth Street, unknown date

NYC 9/11 Public Portal Document

WTC Visual Survey Form (00 (Qq3 Premise Address: L 'L j' Block: 1-7 C I Resideritialfl Residential Commercial JJ I Name of Building: Lot: Mix Use OtherEJ I # of Stories: e I AKA's: (-3 Buiidin Owrpr/Mana ement: /pho a Number. ( )

€o Name: t,ub 6~ N Address: On Site Contact: Name: " b QC Velephone Number: 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 I I Yes

Visual Inspection Results: Facade: Inspected Debris North 2f 1/A ❑ Yes ❑ No No Visible/Fine Layer ❑%to1" 0>1" South ❑ N/A [kfes ❑ No No Visible/Fine Layer ❑'/ to 1" 0>1" East Q'N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer ❑'/ to 1" 0>1" West [-N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer ❑%to1" 0>1" Facade Description:

Roof Debris: (3o Visible /Fine Layer ❑ Va to 1" 0>10 Description: tv A bs4

Setbacks N/A [V Floor. Debris: ❑ No Visible/Fine Layer 0 ¶4 to V Floor. Debris: ❑ No Visible/Fine Layer ❑ a to 1" Floor: Debris: ❑ No Visible/Fine Layer 0 h to 1" Floor: Debris: ❑ No Visible/Fine Layer 0 V to 1" Floor: Debris: ❑ No Visible/Fine Layer ❑ 6 to 1" Comments

Date: / /2002 Inspection Team: Name: C.,1 Agency: O Name: Agency: ,ENTEREli NYC-WTC-000110988