WTC environmental inspection form for 333 Rector Place facade

NYC 9/11 Public Portal Document

/QOOO S5 WTC Visual Survey Form Premise Address: ttL~ - Block: Residential 0 Commercial Name of Building: Lot: Mix Use Other # of Stories: 3 AKA's: — aU5 Building Ow er/Management: Telephone Nu ber: y~L ) J çf ~a Name: c (( y-~ y.Q ~- ~- FAX: Address: On Site Contact: Name: Telephone Number: ) Building Owner Management Activities Interior Survey Performed [ Ges ❑ No Exterior Survey Performed J Yes ❑ No General Clean Up •j es ❑ No Locations: ACM Clean Up ❑ Yes ❑ No Locations: Air Monitoring Q'Ses ❑ No Locations: Copies of All Reports and Data Re uested Yes

Visual Inspection Results: Facade: ected Debris North ❑ NIA jWYPes No ❑ No Visible/Fine Layer ❑Y2 to 1" 0>1" South ❑ N/A BYes No ❑ No Visible/Fine Layer ❑Y2 to 1" ❑> 1" East ❑N/A 'Yes❑No ❑ No Visible/Fine Layer ❑'/:tot" 0>1" West ❑N/A ®Yes❑No ❑ No Visible/Fine Layer ❑Y:tot" 0>1" Facade Description:

Roof L{. Debris: No Visible /Fine tayer ❑ / to 1" 1 =~'''' ❑ > 1" / Description:

Setbacks N/A ❑ Floor: Debris: ❑ No Visible/Fine Layer ❑ Va to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer 0 V 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" Comments

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

NYC-WTC-000114006