WTC visual survey form, 215 Water Street

NYC 9/11 Public Portal Document

.- WTC Visual Survey Form Premise Address:

Block: ResidentialD Commercial Name of Building: Lot: Mix Use Other # of Stories: AKA's: Building Owner/Management Telephone Number. ( ) Name: ,►,,e t4D. 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 Yes

Visual Inspection Results: Facade: In ected Deis North et 1es ❑ No l ioVsible/Fine Layer ❑ % to 1" ❑ > 1" South es ❑ No Lg No Visible/Fine Layer ❑'% to 1" ❑ > 1" East ❑ N/A ❑ Yes ❑ No ❑ No Vsible/Fine Layer F]% to 1" 0> 1" West ❑ N/A ❑ Yes ❑ No ❑ No Vsible/Fine Layer ❑ / to 1" D>1 Facade Description:

Roof

Debris: Do Visible 1Fine Layer .❑ % to 1" Description:

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

Comments

Date: / 2b 12002 Inspection Team: Name: V\ V Agency: N '. Name: ` ,r,.,.,. Agency: ERS~ NYC-WTC-000113780