NYC 9/11 Public Portal Document
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Premise Addre • 4„ ,.,.
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çjk Blo 13 . Residen Ij ' Oorhmercia Tthe of Building:
-(ol Lot: I'( IIN Mix Use ❑ Other
# of Stories: .. AKA's:
Building Ow eer(ManageAnent: Telephone Number: S/ 6) -7 8 3 - 6se o
Name: \,-5 , ('JI~w~ Yr . a,&- v1 cta_
Address:
On Site Co ct:
Name: Telephone Number: ( )
Building Owner Management Activities
Interior Survey Performed es ❑ No
Exterior Survey Performed es ❑ No
General Clean Up ❑ Yes ( lo Locations:
ACM Clean Up ❑ Ye No Locations:
Air Monitoring ❑ Yes No Locations:
Copies of All Reports and Data Requested Yes
Visual Inspection Results:
Facade:
Ins ected Debris
North ❑ N/A 'Yes ❑ No No Visible/Fine Layer ❑'/% to 1" ❑ > 1"
South ❑ N/A BYes ❑ No ❑ No Visible/Fine Layer ❑ % to 1" ❑ > 1"
East ❑ N/A ❑ Yes ❑ No No Visible/Fine Layer ❑ % to 1" ❑ > 1"
West ❑ N/A Yes ❑ No No Visible/Fine Layer ❑'h to 1" ❑ > 1"
Facade Description: 11 l ^
L) w. n n e e L~4
Roof.
Debris: No Visible /Fine Layer ❑'/2to1" 0>1" -
Description: ., D
Setbacks N/A ❑
Floor: Debris: ❑ No Visible/Fine Layer ❑ % to 1
Floor: Debris: ❑ No Visible/Fine Layer ❑ % to 1"
Floor: Debris: ❑ No Visible/Fine Layer ❑ % to 1"
Floor: Debris: ❑ No Visible/Fine Layer ❑'% to 1"
Floor: Debris: ❑ No Visible/Fine Layer ❑ % to 1"
Comments t
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G.A l zs
Date: I" ' /200 Inspection Team: Name: Agency:
Name: Agency:
NYC-WTC 000112795
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