WTC visual survey form, 130 Water Street

NYC 9/11 Public Portal Document

.. WTc visual survey Form I 000 Femise Address:. 14/(_ - Block: G Residen tal Commercial D Name of Building: Lot: 7 Mix Use J Other # of Stories: I AKA's: Building wner1Man#g~nt: Telephone Number: ( ) Name: ~J ~D~IbjjqY ,44& FAX: Address: On Site Contact• Name: " AIW, V "PA4 d Telephone Number: 2 (Z 2 — 7 Building Owner Management Activitie Interior Survey Performed ❑ s No Exterior Survey Performed es ❑ No General Clean Up ❑ Yes o Locations: ACM Clean Up ❑ Yes l3No Locations: Air Monitoring ❑ Yes O No Locations: Copies of All Reports and Data Requested _ es

Visual Inspection Results: Facade: Ins ected Debris North ElN/A 13Yes ❑ No ~Visible/Fine Layer ❑ Ya to 1" ❑ > 1" South ❑ N/A Byes ❑ No L.' No Visible/Fine Layer ❑'/ to 1" ❑ > 1" East ❑ N/A s ❑ No Vsible/Fine Layer ❑Y to 1" ❑ > 1" West ❑ N/A rYes ❑ No No Visible/Fine Layer ❑ % to 1" ❑ > 1" Facade Description:

Roof

Debris: [ No Visible /Fine Layer ❑Y2tol" 0>1" Description:

Setbacks N/A Floor: Debris: ❑ No Visible/Fine Layer ❑ % to V ❑> V Floor: Debris: ❑ No Visible/Fine Layer ❑ Va to? ❑ >V Floor: Debris: ❑ No Visible/Fine Layer ❑ %a to? ❑ >1" Floor: Debris: ❑ No Visible/Fine Layer ❑ % to 1" 0>1" Floor: Debris: ❑ No Visible/Fine Layer ❑ % to? 0>10

Comments

Date: L~ - /2002 Inspection Team: Name: Agency: U" T REO Name: Agency:

NYC-WTC 000113742