WTC site inspection form for 110 Reade Street

NYC 9/11 Public Portal Document

WTC Visual Survey Form 1001"7 Pfe,i e Address: 11& 'E DL C1_ Block: Residential O Commercial Name of Building: Lot: /0 Mix Use Other # of Stories: AKA's: Building Owner/Management: Telephone Number: ( ) Name: FAX: Address: On Site Contact: ; ------------------------------------------------------------ - Name: li( ~I a- Telephone Number:; P11 Building Owner ManagemeritActivitles 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 I N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer ❑'/ to 1" O>1" South ❑ N/A ®. Yes ❑ No No Visible/Fine-layer ❑%to 1" O>1" East N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer ❑Yzto 1" O>1" West N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer ❑Y2to1" ❑>1" Facade Des ri tion:

Roof

Debris: ❑ No Visible /Fine Layer ® % to 1" ❑ > 1" Description: t~ ~ - ~cri e ~~ A L 1

Setbacks N/A~ Floor: Debris: ❑ No Visible/Fine Layer ❑ % to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer O V to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer ❑ Y: to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer ❑ Ys to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer ❑ Y= to 1" ❑ > 1"

Comments

n DatW /4- Inspection Team: Name: hi1lt. hm Agency: Name: Agency:

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NYC-WTC-000114718