Request for environmental hazard assessments, 280 Rector Place

NYC 9/11 Public Portal Document

WTC Visual Survey Form Premise Address:

Block: Residential Commercial D Name of Building: Lot: Mix Use ❑ Other # of Stories: AKA's: Building OwnerlM,anage ent: Telephone Number: ( 2-1 2) '7?S S (~~^-~~- ~ Name: FAX: Address: On Site Contact: Name: N~ Ctitil ~- ~^ Telephone Number: (Z 2_) -' t Building Owner Management ètivities 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 Requested2J Yes

Visual Inspection Results: Facade: Inspected Debris North ❑ N/A Yes ❑ No ❑ No Visible/Fine Layer ❑ %2 to in ❑ > 1" South ❑ N/A [Des ❑ No ❑ No Visible/Fine Layer ❑ '/2 to 1" ❑ > 1" East ❑ N/A DYes ❑ No ❑ No Visible/Fine Layer ❑ %2 to 1" ❑ > 1" West ❑ N/A I Yes ❑ No ❑ No Visible/Fine Layer ❑ Y2 to 1" ❑ > 1" Facade Description:

Roof

Debris: ❑ No Visible /Fine ayer ❑'/2 to 1" '1 ~''' ❑ > 1" 1 Description:

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

Comments

Date: ~/ /2002 Inspection Team: Name: Agency: Name: L; Agency:

NYC-WTC-000114102