WTC visual survey form, 2 Wall Street, Oct 2001

NYC 9/11 Public Portal Document

WTC Visual Survey Form Premise Address: I I I U 6'D r Block: esidentialLi Comm rcial Name of Building: Lot: 3 Mix Use ❑ Other ❑ # of Stories: AKA's: Building Owner/Management: Telephone Number: ( ) Name: FAX: ( ) Address: On Site Contact: Name: " Telephone Number: ( ) Building Owner Management Activities 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 ❑ 1/2 to 1" ❑ > 1" South ❑ N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer ❑ 1/ 2 to 1" ❑ > 1" East ❑ N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer ❑ Y2 to 1" [1> 1" West ❑ N/A ❑ Yes ❑ No ❑ No Viisible/Fine Layer ❑'/2 to 1" ❑ > 1" Facade Description: n Q ms

Roof .t Debris: No Visible /Fine tayer ❑Y2to 1" •i ❑> 1" .1 —4• Description:

Setbacks N/A ❑ Floor: Debris: ❑ No Visible/Fine Layer ❑ % to 1" Floor: Debris: ❑ No Visible/Fine Layer El l/2 to 1" Floor: Debris: ❑ No Visible/Fine Layer El 1/2 to 1" Floor: Debris: ❑ No Visible/Fine Layer ❑ '/2 to 1" Floor: Debris: ❑ No Visible/Fine Layer ❑'/2 to 1"

Date: / 1- /2002 Inspection Team: Name: Agency: Name: Agency:

NYC-WTC 000112176