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Document / 5 pages

WTC debris inspection form for residential building, 2002

Machine-extracted title · confidence 100%

Inspection checklist recording facade conditions and debris at a residential building near the WTC.

NYC-WTC_000112043–000112047

Folder label: “250 VESEY PLACE; 1000060, 16/150

Page image
Scanned page image, NYC-WTC_000112044
OCR text

OCR status: ok · source: pdftotext

NYC 9/11 Public Portal Document

WTC Visual Survey Form Premise Address:

Block: I Residential D Commercia Nam of B din Lot: Mix Use Other :, # of Stories: AKA's: Building O agemgpt: f elephone Num r: (} ~.) Name: W' a - FAX: Address: _ -.-.-.-.-.-.-.-.-.-.-.-.-.-.-.-.-.--.-.-.-.-.-.-.-.-.-.-.-.-. - On Site Contact: Name: " fy K q1 f Tele one ber PII Building OwnerManagementAQtivltles .-.-.-.-.-.-.-.-.-.-.-.-.-.-.-.-.-.-.-.-.-.-. Interior Survey Performed es ❑ No Exterior Survey Perfqrmed es ❑ No General Clean Up Yes ❑ No Locations: ,_ ACM Clean Up QYes ❑ No Localpns: Air Monitoring Yes ❑ No 'Locations:___________________________________________ Copies of All Reports and Data Re ueste Yes Visual Inspection Results: Facade: Inspected Debris North ❑ N/A PJ Yes ❑ No No Visible/Fine Layer ❑ Y: to 1" ❑ > 1" South ❑ N/A Yes Q No No Visible/Fine Layer I- ]% to 1" 0>1' East ❑ N/A BYes ❑ No No Visible/Fine Layer ❑ 34 to 1" ❑ > 1" West ❑ N/A J YesDNo MNo Visible/Fine Layer ❑ Y: to 1" [J > 1" Facade Description:

Roof

Debris: ❑ No Visible (Fine Layer ❑ Y to V Description: ,1:~ ti • L ,,j. c fC s

Setbacks N/A ❑ Floor: Debris: Q No Visible/Fine Layer ❑ Y: to 1" Floor. Debris: 0 No Visible/Fine Layer ❑ % to V Floor: Debris: ❑ No Visible/Fine Layer ❑ 16 to 1" Floor: Debris: ❑ No Visible/Fine Layer ❑ % to 1" Floor. Debris: ❑ No Visible/Fine Layer ❑ h to 1" 0>1' Comments y V S

l w M + w.nn 1 ' T Date: /.11 12002 1 n Team: Name: Agency: 1 C4? Name: Agency: C-3 NYC-WTC 000112044

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NYC-WTC_000112044Source: NYC Law Department, mirrored locally

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