WTC environmental inspection form, 45 Warren Street

NYC 9/11 Public Portal Document

WTC Visual Survey Form Premise Address: S W Block: Re identia Commercial Name of Building: Lot: " Mix Use Other ;ft of Stories: 0 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: In pected Debris North ❑ NIA o- -- ]4o Visible/Fine Layer E]%2 to 1" 0>1" South ❑ N/A ❑ Yes ❑ No O No Visible/Fine Layer ❑'/2 to 1" 0>1" East ❑ N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer ❑Y2to l" 0>1" West ❑ N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer E]'/2 to 1" J>1 Facade Description:

Roof

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" [3> 1" Floor: Debris: ❑ No Visible/Fine Layer ❑ %2 to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer ❑ % to 1" [3 >1" Comments

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

NYC-WTC-000113345