WTC environmental inspection form for 333 Rector Place facade

NYC 9/11 Public Portal Document

WTC Visual Survey Form Premise Address:

Block: k Residential 0 Commercial Name of Building: Lot: Mix Use Other # of Sto es: AKA's: Building Ow er/Management: Telephone Number: ( )- . itc,- Name: ~- FAX: Address: On Site Contact: Name: Telephone Number: ( ) Building Owner Management Activities Interior Survey Performed [ayes ❑ No Exterior Survey Performed Yes ❑ No General Clean Up .j Yes ❑ No Locations: ACM Clean Up ❑ Yes ❑ No Locations: Air Monitoring Q'Yes ❑ No Locations: Copies of All Reports and Data Requested ElYes

visual inspection Results: Facade: Inspected Debris North ❑ N/A 9Yes No ❑ No Visible/Fine Layer M'/2 to 1" 0>1" South ❑ N/A Yes No ❑ No Visible/Fine Layer ❑Y2to1" 0>1" East ❑ N/A ,R Yes ❑ No ❑ No Visible/Fine Layer ❑'/ to 1" 0>1" West ❑ N/A K Yes ❑ No ❑ No Visible/Fine Layer ❑Y2to1" 0>1" Facade Description:

Roof

Debris: No Visible /Fine ayer ❑/2to1" •1 - ''~ ❑> 1" ~ •~-"'~ Description:

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

Date: _//2002 Inspection Team: Name: Agency: _ _ Name: Agency:

NYC-WTC-000114005