WTC survey form, 104 Reade Street

NYC 9/11 Public Portal Document

WTC Vis•i*I Survey Form Premise Address:

Block: Residential 0 CommercialD Name of Building: Lot: D2 Mix Use Other ❑ # of Stories: 15 AKA's: ' Building Owner/Management: Telephone Number: ( Name: X31 b wr1 FAX: ( ) Address: On Site Contact: Name: El lt , Telephone Number: (2i ) 4I Building Owner Managem nt 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 J N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer ❑ % to 1" 0>1" South D N/A Yes ❑ No ,No Visible/Fine--aver D% to 1" ❑> 1" East West J N/A N/A Facade Description: D Yes ❑ No ❑ Yes ❑ No No Visible/Fine Layer ❑'/ to 1" ❑ No Visible/Fine Layer ❑ Y2 to 1" 0>1" ❑ > 1"

Roof

Debris: No Visible /Fine-Layer F1'% to 1" 0>1" Description:

Setbacks N/A, Floor: Debris: ❑ No Visible/Fine Layer ❑'/z to' 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer ❑ % to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer ❑ % to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer ❑ % to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer ❑ %2 tot" ❑ > 1"

Comments

Date: /2002 Inspection Team: Name: — Agency: Name: Agency:

NYC-WTC 000114582