WTC facade inspection form, 45 Peck Slip

NYC 9/11 Public Portal Document

WTC Visual Survey Form Premise Address: ' l f Block: ResidentialD Commercia1 Name of Building: Lot: /® Mix UseD 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 ❑ No Locations: Air Monitoring 9 Yes ❑ No Locations: Copies of All Reports and Data Requested Yes

Visual Inspection Results: Facade: Inspected Debris North ❑ N/A ❑ Yes 9 No O No Visible/Fine Layer pto1' D>1" South ❑ N/A 9YesDNo No Visible/Fine Layer 34to 1" D>1 East ❑ N/A DYesDNo No Visible/Fine Layer '/ to l' 0>? West ❑ N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer ❑Y2to1" 0>1' Facade Description:

Roof

Debris: [] No Visible /Fine Layer .0 34t0? 9> 1" Description:

Setbacks N/A❑ Floor Debris: ❑ No Visible/Fine Layer ❑ % to V 0>1. Floor Debris: ❑ No Visible/Fine Layer [] % to 1" 9> 1" Floor. Debris: ❑ No Visible/Fine Layer ❑'Y to 1" ❑ > 1" Floor. Debris:[] No Visible/Fine Layer 'Y: to 1" 9> 1" Floor Debris: No Visible/Fine Layer H%toll" 9>1.

Comments i n I - ~. c J ' c. %

Date: Inspection Team: Name: Agency: Name: Agency: >ENTERE

NYC-WTC-000114815