WTC Visual Survey Form 1h01
Premise Address:
602 RA aE £7l EET
Block: Residential LI Commercial D Name of Building:
Lot: Mix Use J J 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 EYes
visual inspection Results:
Facade:
Inspected Debris
North ❑ N/A LaYes 0 No ®'No Visible r ❑Y%tol" ❑>1"
South ❑ N/A Yes ❑ No No Visible ❑Mato l" 0>1"
East E N/A ❑ Yes ❑ No O No Visible/Fine Layer ❑%to ? 0>1"
West ®N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer Dhto1" 0>1"
Facade Description:
Roof
Debris: No Visible ❑ 1A to 1" ❑ > 1"
Description: S;ISpEc.rt v /fcc. sS 644ilyED ,F~f 6o R ST
Setbacks N/A 0
Floor. Debris: ❑ No Visible/Fine Layer ❑ A to l" 9>1 "
Floor. Debris: 0 No Visible/Fine Layer ❑%to 1" 0>1"
Floor. Debris: ❑ No Visible/Fine Layer ❑htol" 0>1"
Floor. Debris: ❑ No Visible/Fine Layer ❑%to1" 0>1"
Floor. Debris: 0 No Visible/Fine Layer ❑htol" 9>1"
Comments
Date: _ 4 11fJ /2002 Inspection Team: Name: 2wn~St Agency: . P.
Name: Agency:
ENT ERED
NYC-WTC-000114975
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NYC-WTC_000114975Source: NYC Law Department, mirrored locally