WTC visual survey form, 156 Water Street

NYC 9/11 Public Portal Document

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WTC Visual Survey Form Premise Address: ( 5 v L) Block: Residential 0 Commercial Name of Building: Lot Mix UseD Other # of Stories: AKA's: Building OwnerIManajemen 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 j s

Visual Inspection Results: Facade: Inspected Debris North ❑ N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer ❑%to 1- 0>1' South 0 N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer D%tol' ❑>1- East 0 N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer ❑%to l - 0>1. West ❑ N/A ❑Yes ❑ No ❑ No Visible/Fine Layer D% to 1- 0>1' Facade Description: o n _

Roof

Debris: ` o Visible /Fine Layer .❑% to 1- ❑ > 1- Description:

Setbacks N/A~ Floor____ Debris: ❑ No Visible/Fine Layer ❑ % to 1- 0>1' Floor Debris: ❑ No Visible/Fine Layer ❑''A to 1- 0>1' Floor ___ Debris: ❑ No Visible/Fine Layer ❑'A to 1- 0>1. Floor _ Debris: ❑ No Visible/Fine Layer ❑'A to 1- ❑ > !- Floor. Debris: 0 No Visible/Fine Layer ❑ i4 to 1- ❑> 1- Colgrunts

Date: '-. /12002 Inspection Team: Name: -4 '— Agency: Name: Agency:

NYC-WTC-000113746