WTC Visual Survey Form 1001009
Premise Address:
pT
Block: Residential 0 Commercial J Name of Building:
Lot: I f Mix Use OtherD l D G, C-1-0p.
# of Stories: J +PE AKA's:
Building Owner/Management: Ca, Telephone Number: ( z, Z) R"-2-111
Name: • FAX:
Address: 44cr i2ax o
On Site Contact:
Name: * ' 1"o v. Telephone Number: ( )
Building Own 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 0 No Visible/Fine Layer 0%to1" 0>1"
South ❑ N/A Yes ❑ No No Visible/Fine Layer ❑Y2to 1" 0>1"
East ® N/A ❑ No No Visible/Fine Layer ❑%to 1" 0>1"
West N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer ❑%to 1" 0>1"
Facade Description:
Roof
Debris: sI lëFFineLayer ❑ % to 1" 0>1"
Description: firCi- .tea-r
Setbacks N/A ❑
Floor: j Debris: ine Layer ❑ % to 1" 0>1"
Floor: p '4 Debris: Ne ble/Fine Layer ❑ % to 1" ❑ > 1"
Floor: Debris: 0 No Visible/Fine Layer ❑ h to 1" ❑ > 1"
Floor: Debris: ❑ No Visible/Fine Layer ❑ Y2 to 1" ❑ > 1"
Floor: Debris: ❑ No Visible/Fine Layer ❑ % to 1" ❑ > 1"
Comments
Date: 2- / l 6 /2002 Inspection Team: Name: mar~ohti l Agency: .DEI'
Name: Agency:
NYC-WTC-000114862
OCR can misread numbers and units. Confirm readings against the page image before using them.
NYC-WTC_000114862Source: NYC Law Department, mirrored locally
Building exterior inspection form documenting assessment of debris and deposits on facades and roofs with directional orientation and size measurements.
A Department of Environmental Protection form recording facade and ACM inspection results for a building at 141 Greenwich Street dated February 12, 2002.