WTC inspection form, 30 Wall Street

NYC 9/11 Public Portal Document

WTC Visual Survey Form ,001099 Premise Address: O L-L-. i er Block: 143 Residential D Commercial J Na of Building: Lot: Mix Use ❑ Other U L -C # of Stories: AKA's: Buildin O ner/ agement: Telephone Number: ( ) Name: Q 1 FAX: ( ) Address: c c ALU r. \ 00 p On Site Contact: Name: \ Telephone Number: ) Building Owner Management Activi ' s 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 De ris North ❑ N/A ❑ Yes ❑ No 1No Visible/Fine Layer ❑ % to 1" ❑ > 1" South ❑ N/A ❑ Yes ❑ No Visible/Fine Layer ❑ % to 1" ❑ > 1" East ❑ N/A ❑ Yes ❑ No o Visible/Fine Layer ❑ % to 1" ❑ > 1" West ❑ N/A ❑ Yes ❑ No o Visible/Fine Layer ❑ %2 to 1" ❑ > 1" Facade Description:

Roof

Debris: N /Fine Np'/2 to 1" 0>1" Description: t - 'nAIav\. Zt 7

Setbacks Floor: Debris ' No Visible/Fine Layer ❑ % to 1" ❑ > 1" Floor: Debris: No Visible/Fine Layer ❑ Y2 to 1" ❑>1" Floor: Debris: SNo Visible/Fine Layer ❑ Y2 to 1" 0>1" Floor: Debris:1 No Visible/Fine Layer ❑ % to 1" [1>1" Floor: Debris: ❑ No Visible/Fine Layer ❑'/2 to 1" 0>1" Comments

Date: Inspection by: Name: Agency: .\ Name: Agency:

NYC-WTC-000112370