WTC facade inspection form, 15 Warren Street

NYC 9/11 Public Portal Document

WTC Visual Survey Form Premise Address: L --t b' _ Block: Residents Commerci Name of Building: Lot: Mix Use U Other #of Stories: AKA's: Building Owne !Management: Telephone Number: ( ) Name: FAX: Address: On Site Con t: /'' v Name: • I ~' L Telephone Number: ( ) Building Owner Manageient 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: Ins ected De is North ❑ N/A No - Visible/Fine Layer ❑'/z to 1" ❑ > 1" South ❑ N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer ❑ Y2 to 1" ❑ > 1" East ❑ N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer ❑ % to 1" ❑ > 1" West ❑ N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer ❑ % to 1" 0>1" Facade Description:

Roof

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

Setbacks N/A ❑ Floor: Debris: ❑ No Visible/Fine Layer ❑ % to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer ❑'4 to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer ❑'4 to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer ❑'% to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer ❑'4 to 1" ❑ > 1"

iComments

ZDate: b i-) /2002 Inspection Team: Name: ~- it rte`- Agency: U4 Name: Agency:

NYC-WTC-000112672