WTC visual survey form, 11 Rector Street

NYC 9/11 Public Portal Document

WTC Visual Survey Form Premise Address: D, ,y

Block: Residential D 1Commercial Na e o Building: Lot: Mix Use Other -per c F ,o^ S 9 of Stories: AKA's: -t' ' Building Owner/Management: Telephone Number: ( - ) 25q _ Pt3 Name: z, u r+,, 2A-- FAX: Address: On Site Contact: Name: ' f w"'" — Telephone Number: ( ) Building Owner Management Activities Interior Survey Performed ❑ Yes No Exterior Survey Performed ❑ Yes o General Clean Up Yes No Locations: ACM Clean Up 1 1 Yes cto Locations: Air Monitoring ❑ Yes Locations: Copies of All Reports and Data Requested Yes

Visual Inspection Results: Facade: Inspected Debris North ❑ N/A Yes ❑ No ❑ No Visible/Fine Layer % to 1" ❑ > 1" South -'N/A 0 Yes ❑ No ❑ No Visible/Fine Layer ❑ Y to 1" ❑ > 1" East RN/A ❑ Yes ❑ No ❑ No Visible/Fine Layer ❑ % to 1" 0>1' West ❑ N/A Yes ❑ No fslo Visible/Fine Layer ❑ % to 1" ❑ > 1" Facade Description:

Roof

Debris: ❑ No Visible /Fine Layer ❑'/ to 1" h~> 1"

Setbacks N/A ❑ 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" Floor: Debris: ❑ No Visible/Fine Layer ❑ Va to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer ❑ % to 1" ❑ > 1" Comments J

h i( ; ~- n n \

Date Inspection Team: Name: c H — (-r i ✓~-t._ Agency: '(7 - ' Name: Agency:

NYC-WTC- 000113825