WTC facade inspection form, 111 Reade Street

NYC 9/11 Public Portal Document

WTC Visual Survey Form • 10 0 C S(p rrerm i3e Address: 111 Bloc :. / ResidentialZI Commercial I Name of Building: Lot: 4, Mix Use Other ❑ # of Stories: 5 AKA's: Building Owner/Management: Telephone Number: ( ) Name: FAX: Address: On Site Contact: Name: ' - L -E'- 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 K) Yes ❑ No ❑ No Visible/Fine Layer ®%a to 1" 0>1" South N/A ❑ Yes [] No ❑ No Visible/Fine Layer ❑'/a to 1" 0>1" East N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer ❑ % to 1" 0>1" West N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer ❑ Ya to 1" 0>1" Facade Descnption: ,J XV I n. -1 tos ~rl ~ 46L s A _

Roof Debris- El No Visible /Fine Laver (P( '/z to 1" f > 1"

Setbacks N/A Floor. Debris: ❑ No Visible/Fine Layer ❑ Va to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer ❑'/ to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer ❑ Va to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer ❑ Va to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer ❑ % to 1" ❑ > 1"

Comments

I A Date: 1 /2002 Inspection Team: Name: D Agency: + Name: Agency:

NYC-WTC- 000114775