WTC visual survey form, Wall Street site, Oct 2001

NYC 9/11 Public Portal Document

WTC Vis :al Survey Form 0~; 2:/,~ Premise A r ss: $ 7 7 1p w, 5T RA - c~, 31- - Block: 3 Residential 0 Commercial Name of Building: Lot: Mix UseD Other `# of Stories: i AKA's: 3Gr i I S Sv i Building Owner/Management: T lephone Number: ( ) Name: FAX: Address: On Site Con t: Name: * * U 'TS Building Owner Management Activities Telephone Number: ( )

Interior Survey Performed ❑ Yes ❑ No Exterior Survey Performed ❑ Yes ❑ No General Clean Up ❑ Yes ❑ 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 ❑ Yes ❑ No ❑ No Visible/Fine Layer ❑'/2 to 1" South ❑ N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer ❑ Y2 to 1" East ❑ N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer ❑ Y2 to 1" West ❑ N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer ❑ Y2 to 1" Facade Description:

Roof

❑ No Visible Layer D% to 1" ❑>1"

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 ❑ V2 to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer 0'/2 to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer ❑ % to 1" ❑ > 1"

Comments

Date: ~ , / /2002 Inspection Team: Name: Agency: Name: Agency: DE FRE a NYC-WTC-000112172