WTC visual survey form, 180 Water Street

NYC 9/11 Public Portal Document

WTC Visual Survey Form col 13y F' mise Address:

Block: (' Residential Commercia1 Name of lding: Lot: 3 Mix Use ❑ Other ❑ --gov.«e ~C # of Stories: AKA's: Building Owner/Manag ent: Telephone Number: (~, ) j f Name: .Qi -v FAX:( ) 7-' / 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 ❑ Yes

Visual Ins on Results: Facade: Ins ected Dett~rris No N/A Yes ❑ No o Visible/Fine Layer E]Y2 to 1" 0>1"1- S th N/A s❑No ❑ No Visible/Fine Layer El'/2 to 1" 0>1" East ❑-N/A s❑No .1 No Visible/Fine Layer ❑'/2 to 1" 0>1" West ❑ N/A F s❑No ~No Visible/Fine Layer ❑Y2to l" 0>1" Facade Description:

Roof

Debris: Description:

Setbacks N/A ❑ Floor: Debris: ❑ No Visible/Fine Layer ❑ 1/2 to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer El 1/2 to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer ❑ Y2 to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer ❑ Y2 to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer El 1/2 to 1" ❑ > 1"

Comments

Date: / - /2002 Inspection Team: Name: Agency: Name: Agency: ENTE RED

NYC-WTC- 000113762