WTC inspection form, 40 Wall Street

NYC 9/11 Public Portal Document

WTC Visual Survev Form Premise Address: _ O Block: Residential 0 Commercial U Name of Building: Lot Mix UseD Other lot 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 ❑ 14 to 1- ❑ > 1- South ❑ WA ❑ Yes ❑ No ❑ No Visible/Fine Layer ❑14to 1- 0>? East ❑ N/A ❑Yes ❑ No ❑ No Visible/Fine Layer D 14 to 1' 0>? West ❑ N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer 014t0 1- 0>1• Facade Description:

Roof Debris: ❑ No Visible /Fine Layer ❑ % to 1- 0>1' Description:

Setbacks N/A Floor Debris: ❑ No Visible/Fine Layer ❑ % to 1- 0>1' Floor _ Debris: ❑ No Visible/Fine Layer ❑ 14 to 1" 0>1. Floor _ Debris: ❑ No Visible/Fine Layer ❑ 4 to V 0>1. Floor Debris: ❑ No Visible/Fine Layer ❑ fs to V 0>1' Floor. Debris: ❑ No Visible/Fine Layer ❑ i4 to 1- 0>1. Comments )+t1 JE fJ j

Date: C / `?'d 12002 Inspection Team: Name: Agency Agency: Name:

NYC-WTC-000112374