WTC Site Inspection Form for 110 Reade Street, July 2002

NYC 9/11 Public Portal Document

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WTC Visual Survey Form Premise Address:

Block: Residential 0 Commercial j J Name of Building: Lot: Mix Use Other # 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 Q No Locations: Air Monitoring ❑ Yes ❑ No Locations: Copies of All Reports and Data Requested J Yes Visual inspection Results: Facade: Inspected Debris North ❑N/A ❑YesQNo ❑ No Vsible/Fine Layer DYto1" 0>1" South ❑ N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer Q/ato1" 0>1" East ❑ N/A ❑ Yes D No ❑ No Visible/Fine Layer ❑'/tol" 0>1" West ❑ N/A YesQNo a ❑ No Visible/Fine Layer D Ya to 1" 0>1" Facade Description:

Roof Debris: Description: ❑ No Visible /Fine Layer [] % to 1" k\& CI J ❑ > 1" Q

Setbacks N/A Floor. Debris: ❑ No Visible/Fine Layer D to 1" ❑ > 1" Floor. Debris: ❑ No Visible/Fine Layer ❑ % to 1" ❑ > 1" Floor: Debris: [] No Visible/Fine Layer ❑ h to 1" ❑ > 1" Floor. Debris: ❑ No Visible/Fine Layer ❑ h to 1" ❑ > 1" Floor. Debris: ❑ No Visible/Fine Layer ❑ % to 1" 0> 1" I Comments

Date: `/- 12002 Inspection Team: Name: Q-A M Agency: 0c: Y' Name: Agency: ENTERED

NYC-WTC-000114715