WTC facade inspection form, 40 Water Street, Oct 2001

NYC 9/11 Public Portal Document

T wa WTC Visual Survey Form I 00O"~~'8 Premise Address: i . C,c -e n s, e.,,) S. L( Block: Residential D Commercial D Name of Building: Lot:3q Mix Use Other # of Stories: AKA's: Building Owner nagement: , Telephone Number. ( ) Name: . < ,D LL 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 0 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 ❑ h to 1" 0>1" South ❑ N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer ❑%to1" 0>1" East ❑ N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer ❑ % to l" 0>1" West ❑ N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer ❑Ytol" 0>1" Facade Description: f1 0

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 ❑ Ya to 1" ❑ > 1" Floor. Debris: ❑ No Visible/Fine Layer ❑ % to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer ❑ % to 1" ❑ > 1"

Comments

Date: 1 I > /2002 Inspection Team: Name: — Agency: T Name: Agency: N EREQ

NYC-WTC-000113640