WTC facade inspection form, 100 Wall Street

NYC 9/11 Public Portal Document

WTC Visual Survey Form l noe A "'7 c P +;ise Address: / d Block: Residential I Commercial Name of Building: Lot: Mix Use 0 Other # of Stories: AKA's: Building Owner/Management: Telephone Number: ( ) Name: f( 7h ~ bC FAX: Address: On Site Con c: Name: * rl C 711 Telephone Number: ( 2/i Z4 P /6C Building Owner Management Activiti Interior Survey Performed es FNo Exterior Survey Performed LYes ❑ No General Clean Up ❑ Yes o Locations: ACM Clean Up ❑ Yes Q'1lo Locations: Air Monitoring ❑ Yes [3lo Locations: Copies of All Reports and Data Requested es

Visual Inspection Results: Facade: In pected D9bris North ❑ N/A []Yes ❑ No o Visible/Fine Layer ❑ %= to 1" South East ❑ N/A ❑ N/A Q'Yes ❑ No s ❑ No R o Visible/Fine Layer Q)Jo Visible/Fine Layer ❑'/ to 1" ❑ % to 1" D>1' 0>1" 0>10 West ❑ N/A O'Yes Q No No Visible/Fine Layer ❑ % to 1" 0>1" Facade Description:

Roof

Debris: No Visible /Fine Layer ❑'/% to 1" ❑ > 1" Description:

Setbacks N/A [' 7 Floor. Debris: ❑ No Visible/Fine Layer ❑'% to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer ❑ a to 1" ❑ > 1' Floor: Debris: ❑ No Visible/Fine Layer ❑ % to 1" ❑ > 1' Floor: Debris: ❑ No Visible/Fine Layer ❑ %2 to 1" ❑ > 1' Floor: Debris: ❑ No Visible/Fine Layer ❑ % to 1" ❑ > 1'

Comments

Date: /I ) 12002 Inspection Team: Name: Agency: V L r Name: Agency: NT ERE NYC-WTC 000112641