WTC building inspection form, 40 Worth Street

NYC 9/11 Public Portal Document

1 WTC Visual Survey Form O Promise Address: ' r ty AResidential o Block: ] 0 Commercial Name of Building: Lot: 1MixUse0Other # of Stories: ft AKA's:?, - so -r - r/at - -6 f Building Owner/Management CC/48Se.-vic.esTelephone Number. ( ) IS4 -I 3 Name: G,ram fI, FAX: Address: b t ( 1 I `- On Site Contact; Name: ' l L Telephone Number. Building Owner Mana ement Activities Interior Survey Performed [des 0 No Exterior Survey Performed res, 0 No General Clean Up ❑ Yes Locations: VtO W& c L ACM Clean Up 0 Yes~ff~bi° Locations: Air Monitoring 0 Yes 1. No Locations: Copies of All Reports and Data Requested es

Visual Inspection Results: Facade: Ins ected Debris North 0 N/A [3Yes 0 No o Visible/Fine Layer 014101' 0>1' South ❑ N/A [31es 0 No DIo Visible/Fine Layer 01410 1- 0>" East ❑ N/A [es 0 No D'Np Visible/Fine Layer D3 to1- 0>1" West ❑ N/A tyYes 0 No to Visible/Fine Layer 0 , to1- 0>1' Facade Description:

Roof

Debris: 0 No Visible /Fine Layer 014101' ❑ > I' Description:

Setbacks N/A [3" Floor Debris: 0 No Visible/Fine Layer ❑ 14 to 1- ❑ > 1' Floor____ Debris: 0 No Visible/Fine Layer 014101. ❑ > 1' Floor. Debris: [] No Visible/Fine Layer 014 to 1- 0>1' Floor Debris: 0 No Visible/Fine Layer 0 34 to 1- 0> 1- Floor. Debris: 0 No Visible/Fine Layer ❑ % to 1 0>1.

Comments

Date: /2002 Inspection Team: Name: Eqf~ Agency: 'E N T E R E I Name: Agency:

NYC-WTC 000111016