WTC visual survey form, 200 Vesey Street, Oct 2001

NYC 9/11 Public Portal Document

WTC Visual Survey Form 0l)( \k f&4 Pt Premise Address: ( ) A /` ( --._ -. U Block: IResidential El Commercial El Name of Building: Lot: Mix Use Q Other # of Stories: AKA's: cO Building Owner/Management: Telephone Number: ( ) Name: FAX: Address: On Site Contact: Name: " `^ =~~. elephone Number: ( ) Building Owner Management Activities Interior Survey es ❑ No PerformedWyes ❑ No Exterior Survey Performed General Clean Up DYes ❑ No Locations: ACM Clean Up Yes ❑ No Locations: Air Monitoring Yes ❑ No Locations: Copies of All Reports and Data Requested Yes

Visual Inspection Results: Facade: Inspected Debris North ❑ N/A `RfYes ❑ No ❑ No Visible/Fine Layer ❑'/: to l" 0>1" South ❑ N/A E] Yes ❑ No ❑ No Visible/Fine Layer ❑'/2 to 1" 0>1" East ❑ N/A ,WSJ Yes ❑ No ❑ No Visible/Fine Layer ❑%to l" 0>1" West ❑ N/A aYes ❑ No ❑ No Visible/Fine Layer ❑Y2to1" 0>1" Facade Description:

Roof

Debris: No Visible /Fine Layer ❑'/2 to 1" ❑ > 1" 1 Description:

Setbacks N/A ❑ Floor: Debris: ❑ No Visible/Fine Layer ❑'% to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer ❑'/ to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer ❑ % to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer 0 '/2 to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer ❑ Y2 to 1" ❑ > 1"

Comments

Date: Z 7 /2002 Inspection Team: Name: C 41 L Agency: 2('7') / Name: Agency:

NYC-WTC- 000112167