WTC facade inspection form, 109-113 Reade Street

NYC 9/11 Public Portal Document

WTC Visual Survey Form Premise Address: 109-113 cJ Block: Residential.D Commercial p Name of Building: Lot: Mix Use Other 0 . # 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 J Yes

visual inspection KeSUlts: Facade: Inspected Debris North ❑ N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer ❑ to 1" 0>1" South ❑N/A Yes❑No No Visible er ❑Y:to 1" 0>1" East ❑ N/A DYesDNo ❑ No VSible/Fine Layer ❑ Va to 1" 0>1" West ❑ N/A Yes ❑ No ❑ No Vsible/Fino Loye~ ❑%to1" 0>1" Facade Description:

Roof

Debris: SNo Visible /Fi er- ❑ % to 1" ❑ > 1" Description: f, 4 I I c-I► 7 wed 3 1&f

Setbacks N/Au Floor. Debris: 0 No Visible/Fine Layer 0 V to 1" ❑ > 1" Floor. Debris: 0 No Visible/Fine Layer ❑ a to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer ❑ Va to 1" ❑ > 1" Floor. Debris: ❑ No Visible/Fine Layer ❑ Y2 to 1" ❑ > 1" Floor. Debris: ❑ No Visible/Fine Layer ❑'h to 1" ❑ > 1"

Comments

Date: 101 /2002 Inspection Team: Name: Agency: D£1a. Name: Agency: T FR

NYC-WTC-000114810