WTC building inspection form, 40 Worth Street

NYC 9/11 Public Portal Document

WTC Visual Survey Form Premise Address: 40 - Block: Residential J Commercial Name of Building: Lot Mix UseD Other # of Stories: AKA's: Building Ovyner/Management: Telephone Number. Name: N )N FAX: Address: On Site Contact: Name: ' ' T 41 S )Telephone Number. Building Owner Management Activities Interior Survey Performed Yes Q No Exterior Survey Performed Yes Q No General Clean Up Yes No Locations: ACM Clean Up Yes No Locations: Air Monitoring ❑ Yes No Locations: Copies of All Reports and Data Reguestedfl Yes

Visual inspection Results: Facade: Inspected . Debris North N/A Yes No No Visible/Fine Layer i4 to 1' > 1' South N/A Yes No No Visible/Fine Layer K to 1' 0>1' East N/A Yes No No Visible/Fine Layer ❑%to1' >1' West N/A HYesoNo No Visible/Fine Layer ❑%to1' >i. Facade Description: ,- n

Roof Debris: No Visible /Fine Layer .0 % to 1' Description:

Setbacks WAd Floor___ Debris: No Visible/Fine Layer y4 to 1' 9>1. Floor___ Debris: No Visible/Fine Layer 3% to 1 >1 Floor____ Debris: No Visible/Fine Layer 34 to 1' > 1' Floor: Debris: No Visible/Fine Layer % to 1' >1' Floor.____ Debris: No Visible/Fine Layer % to 1' >1' Comments . 4,

Date: J ?2002 Inspection Team: Name: Agency: Name: - Aoencv:

NYC-WTC 000111013