WTC building inspection form, 7 Worth Street

NYC 9/11 Public Portal Document

WTC Visual Survey Form 1/) XS 36 I Premise Address: ( w Block: Residential Commercial Name of uildi g: wiJirru2..tL Lot: r Mix Use Other # of Stories: AKA's: Buiidin n na men • Telephone Number. ( ) Name: ,g •F Addres . On Site ontact: Name: ' ' Tele hone P4mber Building Owner Management Activities Interior Survey Performed ❑ Yes ❑ No Exterior Survey Performed ❑ Yes ❑ No y General Clean Up ❑ Yes 0 No Locations:________________________________________ ACM Clean Up ❑ Yes ❑ No Locations: Air Monitoring ❑ Yes ❑ No Locations: Copies of All Reports and Data Requested D Yes

Visual inspection Results: Facade: Ins .pected ris North ❑ N/A [a'Y s ❑ No ,r ,~ Visible/Fine Layer ❑htol" ❑>1" South ❑ N/A [4s ❑ No ~o Visible/Fine Layer ❑%to1" ❑>1" East ❑N/A [~" es❑No [ lo Visible/Fine Layer ❑htol" ❑>1" West 9 -N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer ❑Ytol" ❑>1" Facade Description:

Roof

Debris: ~lo Visible /Fine Layer ❑ y4 to 1" 0>10 Description:

Setbacks N/A [5 Floor. Debris: ❑ No Visible/Fine Layer ❑ % to 1" 0>1. Floor. Debris: 0 No Visible/Fine Layer ❑ h to? ❑ > 1" Floor. Debris: 0 No Visible/Fine Layer ❑ y4 to 1" 0>1. Floor Debris: ❑ No Visible/Fine Layer ❑ 4 to V ❑ > 1" Floor. Debris: ❑ No Visible/Fine Layer ❑ i4 to? ❑ > 1"

Comments

Date: _ Inspection Team: Name: Agency: C I_ Name: Agency:

NYC-WTC 000110997