WTC facade inspection form, 45 Peck Slip

NYC 9/11 Public Portal Document

WTC Visual Survey Form Premise Address:

Block: Residential 0 Commerci 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 [] Yes ❑ No Locations: Copies of All Reports and Data Requested J Yes

Visual Inspection Results: Facade: Inspected Debris North I] N/A ❑Yes❑No ❑ No Visible/Fine Layer 034to 1' 0>1' South ❑N/A L]Yes❑No ❑ No Visible/Fine Layer 934to1' 0>1' East ❑ N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer ❑ Vato 1' 0>1' West ❑ N/A [] Yes ❑ No [] No Visible/Fine Layer [] %a to 1' 0>1' Facade Description:

Roof

Debris: 9 No Visible /Fine Layer .❑

% to 1' [J> V Description:

Setbacks N/A[] Floor. Debris:L] No Visible/Fine Layer ❑ 34 to 1' Floor Debris: ❑ No Visible/Fine Layer ❑ % to 1' Floor. Debris: ❑ No Visible/Fine Layer ❑ % to 1' Floor Debris:[] No Visible/Fine Layer ❑!3 to 1' Floor Debris: ❑ No Visible/Fine Layer 934 to V

Comments r f y I n

Date: c1 ii 12002 inspection Team: Name: - Agency: NTER E Name: Agency:

NYC-WTC- 000114816