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WTC environmental inspection form, 68 Warren St

Machine-extracted title · confidence 84%

Inspection form for 68 Warren Street documenting facade assessments and hazardous material checks following the World Trade Center collapse.

NYC-WTC_000113003–000113004

Folder label: “68 WARREN ST 1082032, 137/1 68 WARREN STREET 1082032, 137/1

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Scanned page image, NYC-WTC_000113003
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NYC 9/11 Public Portal Document

WTC Visual Survey Form Premise Address:

Block: ( , 1- Residential ❑ Commercial ❑ Name of Building: Lot: Mix Use Other ❑ # of Stories: AKA's: Building Owner/M nag nt: Telephone Number: 1 ) 1 ' Name: I QQ tae Gj FAX: (o~ i ) 32 - Address: On Site Contact: I _ Name: Telephone Number: (c71 Building Own r Manage ent tivities ca v L L Interior Survey Performed es ❑ No t. Exterior Survey Performed ❑ Yes ❑ No General Clean Up Fj 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 De ris North ❑ N/A [ 'Yes ❑ No o Visible/Fine Layer ❑'/z to 1" ❑ > 1" South ❑ N/A [Yes ❑ No [ to Visible/Fine Layer ❑'/2 to 1" ❑ > 1" East ❑ N/A yes ❑ No Mf4o Visible/Fine Layer ❑'/2 to 1" ❑ > 1" West ❑ N/A [ 'Yes ❑ No o Visible/Fine Layer ❑ 1/ to 1" ❑ > 1" Facade Description:

Roof

Debris: No Visible /Fine Layer ❑'/2to1" 0>1" Description:

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

Comments n6 -( I oc~r

Date: (/ 2 5, Inspection Team: Name: )- NTo J N DiRIC►{ Agency: SO (- Name: lll' "(r rCQDO t_ELLt-1 S Agency:

NYC-WTC 000113003

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NYC-WTC_000113003Source: NYC Law Department, mirrored locally

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