WTC exterior inspection form, 12 Platt Street, 2002

NYC 9/11 Public Portal Document 3 WTC Visual Survey Form 10 -7 90S I (S} Premise Address: io (4,ola S4rec Block: Residential Commercial Name of Building: Lot: 2 Mix Use ❑ Other D V # of Stories: 3 I 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 Kesuits: Facade: Inspected Debris North ®N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer ❑ % to l" 0>1" South Z N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer ❑Ato1" 0>1" East ❑ N/A ® Yes ❑ No ®+4e-Visible/Fine Layer ❑ %to T' ❑> 1" West ❑ N/A ® Yes ❑ No tZ NoAtisible/Fine Layer ❑%to 1" 0>1" Facade Description:

Roof

Debris: ❑ No Visible /Fine Layer ®'/2 to 1" ❑ > 1" Description: pEci D FIn1 'Ii Peg

Setbacks N/A ❑ Floor. Debris: ❑ No Visible/Fine Layer J 11/2 to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer fl 1/2 to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer ❑ 1/ 2 to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer ❑ 1/ 2 to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer ❑ '/2 to 1" ❑ > 1"

Comments

Date: ~/ ) 2- /2002 Inspection Team: Name: R w,wiiw Agency: fG' p Name: Agency: N a-e-zQ , ✓ NYC-WTC-000114372