WTC building inspection form, Block 7 Lot 30, Oct 2001

NYC 9/11 Public Portal Document

4.

WTC Visual Survey Form 10000 I I Qremisa Address: -

Block: 7 Residential Commercial Name of Building: Lot: Mix Use Other . # of S ories: AKA's: Building Owner/Managemen Telephone Number: ( ) Name: ~' a ' ~. ~ -.ti 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 ❑Vato 1" 0>1" South ❑ N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer ❑Veto 1" 0>1" East ❑ N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer E)'/ to 1" 0>1" West ❑ NIA ❑ Yes ❑ No ❑ No Visible/Fine Layer ❑%to 1" 0>1" Facade Description: A 0 _

Roof `/ Debris: `~No Visible /Fine Layer ❑'/2 to 1" ❑ > 1" Description:

Setbacks N/A Floor: Debris: ❑ No Visible/Fine Layer ❑ V/a to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer ❑ Va to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer ❑'/:to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer ❑/a to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer ❑ %2 to 1" ❑ > 1"

Comments

Date: t / 2002 Inspection Team: Name: _ Agency: Name: Agency: ENTERED

NYC-WTC 000113605