WTC inspection form, 30 Wall Street

NYC 9/11 Public Portal Document

WTC Visual Survey Form Premise Address: 1 0 3o Block: Residential 0 Commercial Name of Building: Lot: Mix Use ❑ Other # of Stories: 1> AKA's: Building Owner/Management: Telephone Number: ( ) Name: FAX: Address: On Site Contact: Name: to - Telephone Number: ( ) Building Owner ManagePnent 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 0 Yes ❑ No ❑ No Visible/Fine Layer ❑'A: to 1" ❑ > 1"• South ❑ N/A des ❑ No ❑ No Visible/Fine Layer 1" ❑ > 1" East ❑ N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer ❑ % to 1" ❑ > 1" West ❑ N/A s ❑ No o Visible/Fine Layer to 1" ❑ > 1" J Facade Description: ~bh

Roof

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

Setbacks N/A ❑ Floor: Debris: ❑ No Visible/Fine Layer ❑ / to.1" 0>1" Floor: Debris: ❑ No Visible/Fine Layer ❑ % to 1" ❑ > 1" Floor: Debris:.❑ No Visible/Fine Layer ❑ /z to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer ❑ % to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer ❑ % to 1" ❑ > 1"

Comments

yr —% Date: b I//2002 Inspection Team: Name: ~a gency: Name: Agency:

SENTERE NYC-WTC-000112363