WTC facade inspection form, 63 Wall Street

NYC 9/11 Public Portal Document

S.

WTC Visual Survey Form Premise Address: r " ST I Block: 4db Residential ❑ Commercial I Name of Building: Lot: I Mix Use ❑ Other ❑ # of Stories: AKA's: Building Owner anagement: Telephone Number: ( ) Name: A 5 ILLtAh :( ) Address: On Site Contact: Name: `~4 a €tal O,rf Telephone Number: 1'L Building Owner Management Activities Interior Survey Performed ❑ Yes ❑ No eht 4E&rl•ip Exterior Survey Performed ❑ Yes ❑ No ~k 'W 6. %r fT General Clean Up ❑ Yes ❑ No Locations: S ACM Clean Up ❑ Yes ❑ No Locations: V Air Monitoring ❑ Yes ❑ No Locations: ro i drW Copies of All Reports and Data Requested ❑ Yes

Visual Inspection Results: Facade: Inspected Debris North ❑ N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer El 1/2 to 1" ❑ > 1" South ❑ N/A []Yes ❑ No []No Visible/Fine Layer El 1/2 to 1" ❑ > 1" East ❑ N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer ❑'/z to 1" ❑ > 1" West ❑ N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer El 1/2 to 1" ❑ > 1" Facade Description:

Roof

Debris: ❑ No Visi le /Fine ayer % to 1" • ❑ > 1_' Description:

Setb N/A ❑ O vis wlt ó4rfs loor: Debris: ❑ No Visible/Fine Layer ®'/z to 1"/ ❑ > 1" $11b4

loor: Debris: ❑ No Visible/Fine Layer [T~e '/2 to 1" ❑ > 1" ~~ • Floor: Debris: ❑ No Visible/Fine Layer ❑'/z to 1" ❑ > 1" .~ Floor: Debris: ❑ No Visible/Fine Layer ❑ '/2 to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer ❑ '/2 to 1" ❑ > 1"~,,~

Comments

Date: _._2__i ,I /2002 Inspection by: Name: %gency: 1V G E Name: Agency:

NYC-WTC 000112594