WTC facade inspection form, 18 Pine Street

NYC 9/11 Public Portal Document

7WTC Visual Survey Form _ .. e'O G e~L Fllemise Address:

Block: Residential 0 Commercial Name of Building: Lot 4 Mix Use 0. Other❑ 4— # of Stories: AKA's: c.a5e 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 ❑ Yes

Visual Inspection Results: Facade: Inspected Debris North ❑ N/A ❑ Yes ❑ No No Visible/Fine Layer ❑%to1" ❑>1" South ❑ N/A ❑ Yes ❑-No EJJ No Visible/Fine Layer ❑%2 to 1" 11>1" East ❑ N/A ❑ Yes ❑ No No Visible/Fine Layer ❑Y2to1" ❑>1" West ❑ N/A ❑ Yes ❑ No No Visible/Fine Layer ❑Y2to1" ❑>1" Facade Description:

Roof

Debris: [] No Visible /Fine Layer ❑ % to 1" ❑ > 1" Description:

Setbacks NIA ❑ Floor: Debris: No Visible/Fine Layer ❑'/ to 1" ❑ > 1" Floor: Debris: Eli No Visible/Fine Layer ❑'/ to 1" ❑ > 1" Floor. Debris: E No Visible/Fine Layer ❑'/2 to 1" ❑ > 1" Floor: Debris: J No Visible/Fine Layer ❑'/2 to 1" ❑ > 1" Floor: Debris: No Visible/Fine Layer [I 1h to 1" n> 1"

Comments

Date: ..,j02 2 /5 O Inspection by: Name: Agency: Name: Agency:

- I:!

NYC-WTC 000114820