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WTC inspection form for 77 Warren Street

Machine-extracted title · confidence 100%

Form recording facade and roof inspection results for 77 Warren Street following the World Trade Center collapse.

NYC-WTC_000112831–000112832

Folder label: “77 WARREN ST 1001430, 132/25

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Scanned page image, NYC-WTC_000112831
OCR text

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NYC 9/11 Public Portal Document

WTC Visual Survey Form Premise Address:

Block: I 12 Residential ❑ Commercial ❑ Name of Building: Lot: Mix Use ❑ Other ❑ # of Stories: ZZ AKA's: "7 Building Owne /Man, ement. Telephone Number: (2 t Z '1 —7 Name: V FAX: ( ) Address: On Site Contact Name:, Telephone Number: ( ) Building Owner Management 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 cted Debris North ❑ N/A Yes ❑ No VNo Visible/ ineLayer ❑'/z to 1" ❑ > 1" South ❑ N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer ❑ 1/ 2 to 1" ❑ > 1" East ❑ N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer ❑ 1/z to 1" ❑ > 1" West ❑ N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer ❑ 1/z to 1" ❑ > 1"

Roof

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

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

Comments rs̀ t-\ r_~~ ihMn~.tLt t ~, m_ - '°

Dat I / /2002 Inspection Team: Name: Name:'{, Agency: Agency:

NYC-WTC 000112831

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NYC-WTC_000112831Source: NYC Law Department, mirrored locally

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