WTC inspection form for 77 Warren Street

NYC 9/11 Public Portal Document

WTC Visual Survey Form Premise Address: v1 Block: Residential f1 Commercial D Name of Building: Lot: Mix Use ❑ Other ❑ # of Stories: zç AKA's: Building Own /Mans ement.~cI Telephone Number (2 1 2) ~~ -17 "g Name: Address: On Site Cont!,,,, Name: Q, 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: Inspected Debris North ❑ N/A EYes ❑ No 'No Visible/ ineLayef ❑'/2 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 ❑ 1/2 to 1" ❑ > 1" West ❑ N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer ❑ Y2 to 1" ❑ > 1"

Roof

Debris: ❑ No Visible /Fine Layer ❑'/2 to 1" ❑ > 1" Description:

Setbacks N/A ®/ Floor: Debris: ❑ No Visible/Fine Layer 0'/2 to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer ❑'/2 to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer ❑ %2 to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer ❑'/ to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer ❑ Y2 to 1" ❑ > I"

Comments ii

Date: 1 /+ /2002 Inspection Team: Name: I Agency: Name: 7i Agency:

NYC-WTC- 000112834