WTC inspection form, 10 Platt Street

NYC 9/11 Public Portal Document

WTC Visual Survey Form 100112,S premise Addrea: ~'

Block: Residential 0 Commercial I Name of Building: Lot: 2 Mix Use J Other #of Stories: AKA's: Building Owner/Management: OnaC Telephone Number: (2_J2-) _6 2 . Name: FAX: Address: On Site Contact: rai Name: ' Telephone Number: Building Owner Ma agement 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 ❑%2tol" 0>1" South ❑ N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer ❑ % to l" 0>1" East ❑ N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer ❑%tol" 0>1" West ❑ N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer ❑%tol" 0>1" Facade Description:

Roof

Debris: ❑ No Visible /Fine Layer ❑'/to1" 0>1" Description:

Setbacks N/A ❑ Floor. Debris: ❑ No Visible/Fine Layer ❑ % to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer ❑'/ to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer ❑ % to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer ❑ % to 1" ❑ > 1" Floor. Debris: ❑ No Visible/Fine Layer ❑ 1,4t0 1" ❑ > 1"

Comments

Date: / /2002 Inspection Team: Name: OR 014 Agency: (3 Name: Agency:

NYC-WTC-000114962