WTC environmental inspection form, 69 Warren St

NYC 9/11 Public Portal Document

WTC Visual Survey Form Premise Address: f.

Block: I Residential D Commerp;al J Name of Building: ~ Lot: Mix Use ❑ Other C, /'►° ;XL i / # of Stories: AKA's: Building Owner/Management: Telephone Number. ( ) 23J 5'G Name: -L' ~~Ya,1 .~ : . ,;Y FAX: ( ) Address: On Site Contact: , ---- - Name: C5 i `~ ( J )VL1t~-t l Telephone Number:; P I I Building Owner Management Activities ._._._._._._._._._._._._._._._._._._._._._._._._._._._.. Interior Survey Performed ❑ Yes 9 No Exterior Survey Performed []Yes Q No ., ,, ! General Clean Up ❑ Yes ❑ No Locations: ✓L ~' i l 1 .ti 1 i ~i ;; ACM Clean Up ❑ Yes [v] No Locations: Air Monitoring ❑ Yes Q -No Locations: Copies of All Reports and Data Requested ❑ Yes

visual inspectlion Results: Facade: Inspected Debris North ❑ N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer ❑ Y to 1" 0>1" South ❑ N/A QYes ❑ No ❑ No Visible/Fine Layer ❑ V to 1" 0>1" East ❑ N/A 0 Yes ❑ No ❑ No Visible/Fine Layer El'/ to 1" 0>1" West ❑ N/A 0 Yes ❑ No ❑ No Visible/Fine Layer [3'/z to 1" 0>1" Facade Description•• t -

Roof NIl,

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

Setbacks N/A Floor. Debris: ❑ No Visible/Fine Layer ❑ % to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer ❑ % to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer ❑ % to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer ❑'/2 to 1" ❑ > 1" Floor: Debris: ❑ No VSible/Fine Layer ❑ % to 1" ❑ > 1" Comments b

J

u Date: yL/„}x_/2002 Inspection Team: Name: /i v er Agency: 0/ cat Name: P .i"U 1 Agency: h

NYC-WTC-000112978