WTC visual survey form, 160-170 Water Street

NYC 9/11 Public Portal Document

WTC Visual Survey Form Pre?vise Addrel~ss: bb Block: Residential D 6np,ercial p Name of Building: Lot: i ô Mix Use Othe # of Stories: AKA's: Building Owner/Management: Telephone Number: ( ) Name: FAX: Address: On Site Contact: Name: • ' .. Telephone Number: Building Owner Management A tivities Interior Survey Performed Yes ❑ No Exterior Survey Perfo ed es ❑ No General Clean Up ~4es D No Locations: ACM Clean Up ❑ Yesclo 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" [1> 1" South /A 2Yes ❑ No No Visible/Fine Layer ❑ % to 1" ❑ > 1" East ❑ N/A J Yes ❑ No No Visible/Fine Layer ❑ % to 1" ❑ > 1" West ❑ N/A Xes ❑ No o Visible/Fine Layer ❑ %s to 1" ❑ > 1" Facade Description:

Roof

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

Setbacks N/A[] Floor. Debris: 0 No Visible/Fine Layer ❑ % to 1" ❑ > 1" Floor. Debris: ❑ No Visible/Fine Layer ❑ 1/2 to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer ❑V:to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer ❑ % to 1" ❑ > 1" Floor. Debris: ❑ No Visible/Fine Layer ❑ % to 1" ❑ > 1"

Comments

Date: / 20 /2002 Inspection Team: Name: Agency: ENTERED Name: Agency:

NYC-WTC 000113755