WTC Facade Inspection Form, 72-76 Wall Street, 2002

NYC 9/11 Public Portal Document

WTC Visual Survey Form Pi emise Address: 3 N- S-r Er Block: 140 Residential ❑ Commercial ❑ Name of Building: Lot: Mix Use ❑ Other ®P.Cc . P.O. 1 OOO S- qcQ # of Stories: AKA's: ALL S-r. i tO ns OG 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 El Yes ❑ No Locations: Copies of All Reports and Data Requested ❑ Yes \ P c1 W (- Ec~ - Visual Inspection Results: 1 2-1c{ w A L- (. - APJ AtZS 'TAME [L6 - Facade: Inspected Debris North ❑ N/A © Yes ❑ No No Visible/Fine Layer ❑ Y2 to 1" ❑ > 1" South ❑ N/A 2] Yes ❑ No No Visible/Fine Layer [1 Y2 to 1" ❑ > I" East ❑ N/A EYes ❑ No 9No Visible/Fine-Layer ❑ Y2 to 1" ❑ > 1" West ❑ N/A [ ] Yes ❑ No 4c 9No Visible/Fine Layer ❑ Y2 to 1" ❑ > 1" Fa de Description: t & S o 234 .0 o r - oAC LA 2. jo DE 21` y Fri cA c2 Roof

Debris: 'f j No Visible /Fine Layer ❑ '/2 to 1" ❑ > 1" Description:

Setbacks N(A Floor: Debris: No Visible/Fine Layer ❑'/2 to 1" ❑ > 1" Floor: Debris: ® No Visible/Fine Layer ❑'/2 to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer ❑'/2 to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer ❑'/2 to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer ❑'/2 to 1" ❑ > 1"

Comments o c= )l-7'1 'Mu- - oDr_ oG ¼' O.1 _A l,ta Q Pic Sf- P,air f

Date: / Inspection by: Name: UAASA' I O-b (Q L 5 Agency: NV Name: ) Agency:

NYC-WTC- 000112606