WTC facade inspection form, 67 Wall Street

NYC 9/11 Public Portal Document

WTC Visual Survey Form Premise Address: 1n,Qal Block: Residential ❑ Commercial Name of Building: I . Lot: Mix Use ❑ Other ❑ # of Stories: AKA's: r Buildin Owner ana ement: Telephone Number: ( 13.) Name: ~1 C49 S Address: On Site Contac Name: ,,~ Telephone Number: 1aL) 2,c_&1 Building Owner Management Activities Interior Survey Performed fl Yes No Exterior Survey Performed ❑ Yes ❑ No LOO General Clean Up Yes ❑ No Locations: i ACM Clean Up Yes ❑ No Locations: Air Monitoring ❑ Yes ❑ No Locations: Copies o II Reports nd Da a ueste Yes

Visual Inspection Results: ~KA*44r %4wvt ao .ems ky~ Facade: Inspected Debris North ❑ N/A P@ Yes ❑ No JR No Visible/Fine Layer ❑'/2 to 1" ❑ > 1" South ❑ N/A [,Yes ❑ No No Visible/Fine Layer ❑'/z to 1" ❑ > 1" East ❑ N/A S Yes ❑ No No Visible/Fine Layer El 1/2 to 1" ❑ > 1" West ❑ N/A JK Yes ❑ No [ No Visible/Fine Layer ❑ 1/2 to 1" ❑ > 1" Facade Description:

Roof

Debris: jo No Visible /Fine Layer E % to 1" ❑ > 1" Description: SAAWA glib sew&wis J►01e.

Setbacks N/A ❑ Floor: Debris: No Visible/Fine Layer El 1/2 to 1" 1„ ❑ > 1„ Floor: Debris: ® No Visible/Fine Layer ❑ 1/2 to 1" ❑ > 1" Floor: %. Debris: No Visible/Fine Layer ❑ % to 1" ❑> Floor: ? Debris: No Visible/Fine Layer ❑'/z to 1" ❑> 1" Floor: Debris: M No Visible/Fine Layer ❑ 1/2 to 1" ❑> 1"

ents

Date: 1//2002 Inspection by: Name: `. 4/i Z' Agency: Name: Agency:

NYC-WTC 000112599