Facade inspection form, 271 Water Street, Oct 2001

NYC 9/11 Public Portal Document

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WTC Visual Survey Form Premise Address:

Block: Residential 0 Commercial Name of Building: Lot: Mix Use 0 Other W of Stories: AKA's: Building Owner/Management 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 Yes

Visual Inspection Results: Facade: Ins ected ris North South 9'xr1A I NJA Ins ❑ No [des ❑ No M o Visible/Fine Layer o Visible/Fine Layer 9%to1' 0>1' ❑'/4 to 1' 0>1' East ❑ N/A ❑ Yes O No No Visible/Fine Layer ❑%to1' 0>1' West ❑N/A DYesQNo O No Visible/Fine Layer ❑Yatol' 0>1' Facade Description:

Roof

Debris: No Visible /Fine Layer .914 to 1' 9> 1' Description:

Setbacks N/A[] Floor. Debris: ❑ No Visible/Fine Layer 91 to 1' ❑ > 1' Floor. Debris: ❑ No Visible/Fine Layer ❑ 14 to 1' D> 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 ❑ 14 to 1' ❑ > 1' Comments

Date: Lf I 2-O 12002 Inspection Team: Name: 142LQcL"-., Agency: ERE k 1QiJD Agency: ENT Name:

NYC-WTC 000113802