WTC facade inspection form, 120 Wall Street

NYC 9/11 Public Portal Document

WTC Visual Survey Form '000$.?' A PRu%iise Address: r ( S Block: '3 Residential 0 Commercial Name of Building: Lot: QI Mix Use j Other # of Stories: 2 3 AKA's: Building Owner!Managerrent 1 Telephone Number. ( ) Name: 5i 1 FAX: Address: On Site Con, ct: // ~" Name: " . iwt 9 1k Telephone Number. _ (~~( Building Owner Management Activities Interior Survey Performed ❑ s [10 Exterior Survey Performed es ❑ No General Clean Up ❑ Yes o Locations: ACM Clean Up ❑ Yes No Locations: Air Monitoring ❑ Yes No Locations: Copies of All Reports and Data Requested Yes

Visual Inspection Results: Facade: In pected Depris North ❑ N/A Yes ❑ No No Visible/Fine Layer ❑%to1" 0>1" South ❑ N/A Yes ❑ No [1lo Visible/Fine Layer ❑%to1" 0>1" East ❑N/A gyes❑No D'f sible/Fine Layer ❑ V to 1" 0>1" West ❑ N/A Facade Description: es ❑ No [ o Visible/Fine Layer ❑/to1" 0>1"

Roof

Debris: [ lo Visible /Fine Layer ❑ % to 1" 0>1" Description:

Setbacks N/A[( Floor. Debris: ❑ No Visible/Fine Layer 0 to 1" ❑ > 1" Floor. Debris: ❑ No Visible/Fine Layer ❑ % to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer ❑ Y2 to 1" ❑ > 1" Floor. Debris: 0 No Visible/Fine Layer 0 V to 1" 0> 1" Floor. Debris: ❑ No Visible/Fine Layer ❑ 6 to 1" ❑ > 1"

Comments

Date: A i 12002 Inspection Team: Name: U Agency: P ? Name: Agency: ENT E R

NYC-WTC-000112650