WTC exterior inspection form, 12 Platt Street, 2002

NYC 9/11 Public Portal Document

WTC Visual Survev Form Ir ah c I .iemise Address: /2Cyr, ) siREi Block: Residential D Commercial I j Name of Building: Lot: Mix UseD Other ❑ V A 614W') c c/ - # 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 Results: Facade: Inspected Debris North ❑ N/A Yes ❑ No t Ne-Vistbfe1Fine Layer E]'/ to 1" ❑> 1" South ❑ N/A fl Yes ❑ No ❑ No Visible/Fine Layer ❑ Y2 to 1" ❑> 1" East N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer ❑ % to 1"' 0>1" West N/A J Yes ❑ No (Z N.o ie+ble/Fine Layer ❑'/2 to 1" 0>1" Facade Description:

Roof

Debris: ❑ No Visible /Fine Layer ®''/2 to 1" 0>1" Description: 1n~sne c.fe ~l 4irvii C )

Setbacks N/AE I Floor. Debris: ❑ No Visible/Fine Layer ❑'/ to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer 0'/2 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 ❑'/2 to 1" ❑ > 1"

Comments No ct cG 2-t i J- ec. / q, (.~~uz .

Date: 2 ! d 2-/2002 Inspection Team: Name: R Agency: G: . Name: Agency: II No Q-Cce4

NYC-WTC 000114374