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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

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Scanned page image, NYC-WTC_000112046
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NYC 9/11 Public Portal Document

WTC Visual Survey Form Premise Address: \ }~ _ e /6' Block: Residential D Commercial p Name of Building. Lot: Mix Use Other # of Stories: AKA's: ~S ,~ - Building Owner/Management: elephone Number: Name: FAX: Address: On Site Contact: Name: TelepHone ber: Building Owner Management Activities Interior Survey Performed Yes ❑ No Exterior Survey Performed At ❑ No General Clean Up es ❑ No Locations: ACM Clean Up Yes ❑ No Locations: Air Monitoring Yes ❑ No Locations: Copies of All Reports and Data Re uested Yes Visual Inspection Results: Facade: In ected Debris North ❑ N/A $es ❑ No ❑ No Visible/Fine Layer 0% to 1" 0>1" South ❑ N/A des ❑ No ❑ No Visible/Fine Layer ❑ % to 1" 0>1" East ❑ N/A E Yes ❑ No ❑ No Visible/Fine Layer ❑ % to 1" 0>1" West ❑ N/A Yes ❑ No ❑ No Visible/Fine Layer 0% to 1" 0>1" Facade Description:

Roof

Debris: No Visible /Fine Layer ❑ 1,4to1" 0>1" Description:

Setbacks N/A ❑ Floor: Debris: ❑ No Visible/Fine Layer ❑ 1/ to 1" D>1' Floor: Debris: ❑ No Visible/Fine Layer ❑ V to 1' ❑>1" Floor: Debris: ❑ No Visible/Fine Layer ❑ % to 1" 0>1' Floor: Debris: ❑ No Visible/Fine Layer ❑ Y to 1" ❑>1' Floor: Debris: ❑ No Visible/Fine Layer is Va to 1" ❑>1' Comments

Date: \___fL'1 /2002 Inspection Team: Name: / L Agency: (P Name: Agency:

NYC-WTC-000112046

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NYC-WTC_000112046Source: NYC Law Department, mirrored locally

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