WTC facade inspection form, 75-85 Wall Street

NYC 9/11 Public Portal Document

• WTC Visual Survey Form Premise Address:

Block: Residential 0 Commercial Name of Building: Lot: Mix Use Other 0 2-,-r LLB g g- i k # of 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 J Yes Visual inspecuon Results: Facade: Inspected Debris North ❑ N/A ❑ Yes ❑ No ❑ No Vsible/Fine Layer ❑ Ya to 1" 0>1" South ❑ N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer ❑ % to 1" 0>1" East ❑ N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer ❑ % to 1" 0>1" West ❑ N/A ❑ Yes ❑ No ❑ No VSible/Fine Layer ❑ Ya to 1" 0>1" Facade Description:

Roof

Debris: Vq.No Visible /Fine Layer ❑Yato1" 0>1" Description:

Setbacks N/A Floor Debris: ❑ No Visible/Fine Layer ❑ V to 1" ❑ > 1" Floor: Debris: 0 No Visible/Fine Layer ❑'/a to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer ❑ Va to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer ❑ Ya to 1" ❑ > 1' Floor. Debris: ❑ No Visible/Fine Layer ❑ % to 1" ❑ > 1" Comments

Date: S /7— 12002 Inspection Team: Name: _-'^ Agency: Name: Agency: ~NTEREQ

NYC-WTC-000112618