WTC exterior inspection form, 12 Platt Street, 2002

NYC 9/11 Public Portal Document

WTC Visual Survey Form LO19OS1 (3 Premise Address: ' /z fLA 7t $7- Block: - Residential El Commercial j J Name of Biilding: Lot: 013 Mix Use ❑ Other ❑ La ~~ ✓ ~:..u~ # of Stories: AKA's: Building Owner/Management: Telephone Number: ( ) Name: FAX: ( ) Address: On Site Contact: Name: ' — Telephone Number: Building Owner Management Activities 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 Requested Yes

Visual Inspection KeSults: Facade: Inspected Debris North ❑ N/A ® Yes ❑ No t isib1efFine Layer ( '/2 to 1" ❑ > 1" South 0 N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer El Y2 to 1" ❑ > 1" East ❑ N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer ❑ Y2 to 1" ❑ > 1" West E0 N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer ❑ 1/ to 1" ❑ > 1" Facade Description:

Roof

Debris: ❑ No Visible fFine Layer Eg / to 1" J> 1" Description: !2-# lQ pLtt .

Setbacks N/A jl Floor. Debris: ❑ No Visible/Fine Layer ❑ Y2 to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer ❑ Y2 to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer ❑ Y2 to,1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer ❑ Va to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer ❑ Y2 to 1" ❑ > 1"

Comments

Date: 4/ 2- /2002 Inspection Team: Name: ✓L&m Agency: Name: Agency: N~ a u;escs

NYC-WTC-000114371