Facade inspection form, 31 Warren Street, undated

NYC 9/11 Public Portal Document

WTC Visual Survey Form Premise Ad:a.!ess: 21 Block: ~` , Residential Commercial Name of Building: Lot: %'( Q t' aaa ~ Mix Use Other D # of Stories: ' AKA's: 3i 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

visuai inspecuun rwsuiis: Facade: Inspected Debris North ❑ N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer ❑'/2 to 1" ❑ > 1" South ❑ N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer ❑'/ to 1" ❑ > 1" East ❑ N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer ❑ % to 1" ❑ > 1" West ❑ N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer E)'/2 to 1" D>1 Facade Description:

Roof

Debris: ❑ No Visible /Fine tayer ❑ % to 1" •? -~'' ❑ > 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" ❑ > I" Floor: Debris: ❑ No Visible/Fine Layer ❑ %a to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer ❑ Va to 1" ❑ > 1"

Comments — l~ L 1 C Z 4~s C~tS Y CC~.~S~i~ltL!, G~{ t n/'K / iZ

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Date: _ CI / 2.'l /2002 Inspection Team: Name: Agency: Name: HC~..r21c~: Agency:

NYC-WTC 000113404