WTC environmental inspection form, 45 Warren Street

NYC 9/11 Public Portal Document WTC Visual Sury Form Ho) Premise Address:

Block: Residential Commercial Name of Building: Lot: Mix Use ❑ Other # of Stories: AKA's: Building Owner/Management: Telephone Number: ( ) Name: 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: Inspected Debris North ❑ N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer %to 1" 0>1" South ❑ N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer %t01" 0>1" East ❑ N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer to 1" 0>1" West ❑ N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer Yto1" ❑>1" Facade Description:

Roof ~sr Debris: ❑ No Visible /Fine yer ❑'/:to 1" •? t4'"' 4 ❑ > 1" Description: Nd Setbacks N/Ag 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 ❑ % to 1" 0> 1" Floor. Debris: ❑ No Visible/Fine Layer ❑ 34 to 1" ❑ > 1"

Comments

Date: / /2002 Inspection Team: Name: Agency: Name: Agency:

NYC-WTC 000113344