NYC 9/11 Public Portal Document
WTC Visual Survev Form
Premise Address: 7
Block: Residential Commercial Name of Building:
Lot: Mix Use Other
# of Stories: AKA's:
Building Owner/Mana emen : i Telephone Number. (z1,Z- 3
Name: M 1r FAX: ( ) '
Address: ' 'a e_ E,
On Site Contact:
Name: ' Telephone Number: ( )
Building Owner Management Activities
PerformedPes 0 No
Interior Survey Performed
Exterior Survey es ❑ No
General Clean Up ['Yes ❑ No Locations:
ACM Clean Up ❑ Yes ❑ No Locations:
Air Monitoring Ses ❑ No Locations:
Copies of All Reports and Data Requested D Yes
vIsuai mspecuon i esuits:
Facade:
Inspected Debris
North ❑ N/A [Yes ❑ No ❑ No Visible/Fine Layer ❑'/2 to 1" ❑ > 1"
South ❑ N/A [2'Yes ❑ No ❑ No Visible/Fine Layer ❑'A2 to 1" ❑ > 1"
East ❑ N/A ❑-Yes ❑ No ❑ No Visible/Fine Layer ❑'/2 to 1" ❑ > 1"
West ❑ N/A ['Yes ❑ No ❑ No Visible/Fine Layer ❑'A to 1" ❑ > 1"
Facade Description:
(,;rn.'L ws zh V L L\ J— Q -1S
Roof
Debris: No Visible /Fine Layer ❑ Y2 to 1"1 {'"' ❑ > 1" 1
Description:
Setbacks N/A ❑
Floor. Debris: ❑ No Visible/Fine Layer ❑'/2 to 1" ❑ > 1"
Floor: Debris: ❑ No Visible/Fine Layer ❑'/2 to 1" ❑ > 1"
Floor: Debris: ❑ No Visible/Fine Layer 0'/2 to 1" ❑ > 1"
Floor: Debris: ❑ No Visible/Fine Layer ❑'/2 to 1" ❑ > 1"
Floor: Debris: ❑ No Visible/Fine Layer ❑ Y to 1" ❑ > 1"
Comments
Date: t / Z$ /2002 Inspection Team: Name: Agency:
Name: i jL - Agency: -EP
NYC-WTC- 000114088
OCR can misread numbers and units. Confirm readings against the page image before using them.