WTC inspection form for 73 Warren Street

NYC 9/11 Public Portal Document

WTC Visual Survey Form Premise Address:

Block: r WA? I Residential ❑ Commercial -r I Name of Building: Lot: I Mix Use ❑ Other ❑ # of Stories: I AKA's: Building O ner/Manage, ent: Telephone Number: çi2 )-7 3t- g Name: ob FAX:( ) Address: On Site.~ontact: Name: 's-\- C` r Telephone Number: (9j ) - OCR Building Owner Manage nt Activities Interior Survey Performed ❑ Yes [a'No o -. ;~iEyy~, Exterior Survey Performed ❑ Yes [ No ,~,yu~ -}- J General Clean Up [Yes ❑ No Locations: ACM Clean Up ❑ Yes ❑ No Locations: Air Monitoring ❑ Yes [v lo Locations: Copies of All Reports and Data Requested ❑ Yes

Visual Inspection Results: Facade: Inspected Debris North ❑ N/A Yes ❑ No o Visible/Fine Layer ❑ Y2 to 1" ❑ > 1" South ❑ N/A Yes ❑ No o Visible/Fine Layer ❑'h to 1" ❑ > 1" ❑ N/A es ❑ No go Visible/Fine Layer ❑'h to 1" ❑ > 1" • East West ❑ N/A Facade Descriptioq ~ es ❑ No Ro Visible/Fine Layer ❑'h to 1" ❑ > 1"

Y Roof

Debris: 6e ine Layfgr ❑'/z to 1" , / ❑~ 1" _ n 1,1 Descri~ ii

Setbacks N/A ❑ Floor: Debris: ❑ No Visible/Fine Layer ❑ 1/2 to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer ❑ % to 1" ❑ > 1" Floor: Debris: El No Visible/Fine Layer El 1/2 to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer ❑ 1/2 to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer ❑'/2 to 1" ❑ > 1"

I n1 r . ,. I -.f1 Date Inspection Team: Name: , Agency: Name: hy Agency:

NYC-WTC 000112813