WTC facade inspection form, 99 Wall Street

NYC 9/11 Public Portal Document

WTC Visual Survey Form _ Q,-ar ise Address: ^4_ Block: Residential Commercial j Name of Building: Lot Mix UseD Otherfl # 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 Yes Visual Inspection Results: Facade: Inspected Debris North ❑ N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer ❑ % to 1' 0>1' South ❑ N/A ❑ Yes ❑ No No Visible/Fine Layer ❑ % to 1' D>1' East ❑ N/A ❑ Yes ❑ No HNoVsible/Fine Layer ❑ i4 to 1' 0>1' West 0 N/A Q Yes ❑ No ❑ No Visible/Fine Layer ❑ % to 1" ❑ > 1' Facade Description: n f)

Roof Debris: <No Visible /Fine Layer .[] 34 to V ❑> V Description:

Setbacks N/A❑ ' Floor Debris: ❑ No Visible/Fine Layer % to 1' 0>1. Floor Debris: ❑ No Visible/Fine Layer H%tollo 0>1. Floor Debris: 0 No Visible/Fine Layer ❑ % to 1' ❑ > 1' Floor Debris: ❑ No Visible/Fine Layer ❑ 36 to 1' > 1' Floor____ Debris: ❑ No Visible/Fine Layer ❑ % to 1" 831018

Comments

Date: J I I 12002 Inspection Team: Name: —I Agency. Name: Agency:

NYC-WTC 000112637