WTC facade inspection form, 26 Water Street, Oct 2001

NYC 9/11 Public Portal Document

4 . WTC Visual Survey Form (000010 Premise Address: _ Ci Block: 7 Resi ential J Commercial jJ Name of Building: Lot: 4 Mix UseD Other 0 of St rie : AKA's: Building Owner/Ma agemen t Telephone Number. ( ) Name: C~ - ~~-~.---~ FAX: Address: On Site Contact: Name: " ' .. . Telephone Number. Building Owner Management Activities Interior Survey Performed 0 Yes 0 No Exterior Survey Performed ❑ Yes 0 No General Clean Up ❑ Yes 0 No Locations: ACM Clean Up ❑ Yes 0 No Locations: Air Monitoring ❑ Yes 0 No Locations: Copies of All Reports and Data Requested fl Yes

Visual Inspection Results: Facade: Inspected Debris North South East ❑N/A ON/A 0 N/A ❑YesONo ❑YesDNo ❑ Yes 0 No R No Visible/Fine Layer No Visible/Fine Layer ❑ No Visible/Fine Layer 0%tol' ❑ 6tol' O'rtol' 0>1' 0>1- 0>1- West O N/A OYesDNo ❑ No Visible/Fine Layer 0 h to 1' 0>1' Facade Description: q

Roof

Debris: No Visible /Fine Layer ❑ % to 1' 0>1' Description:

Setbacks N/A Floor. Debris: 0 No Visible/Fine Layer [] % to 1' 9>1' Floor. Debris: 0 No Visible/Fine Layer 8 % to 1' 0>1. Floor. Debris: 0 No Visible/Fine Layer 0 % to 1' 0> 1' Floor. Debris: 0 No Visible/Fine Layer ❑ h to 1' 0>1' Floor. Debris: 0 No Visible/Fine Layer E] h to 1' 0>1' Comments

Date: Inspection Team: Name: Agency: Name: Agency:_______ ENTERED NYC-WTC-000113614