Facade inspection form, 78 Reade Street, Oct 2001

NYC 9/11 Public Portal Document

WTC Visual Survey Form Prsmise' Address: 7&-2- R c€e s yea Block: Residential 0 Commercial p Name of Building: Lot: Mix Use Other # of Stories: AKA's: Bullding Owner/Management:),,,4 Telephone Number: ( ) 5 6c Name: FAX: Address: /3 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 (~f No Visible ❑/to1" 0>1" South ❑ N/A J Yes ❑ No No Vsibie t ❑14to1" 0>1" East ❑ N/A ❑ Yes ❑ No No Visible ►er ❑'/to1" ❑>1" West ❑ N/A ® Yes ❑ No No Visible er ❑ % to 1" 0>1" Facade Description:

Roof

Debris: No Visible )Fir — ❑ to1" ❑>1" Description:

Setbacks N/A 0 Floor. Debris: ❑ No Visible/Fine Layer ❑'4 to 1" ❑ > 1" Floor Debris: ❑ No Visible/Fine Layer ❑ % to 1" ❑ > 1" Floor: Debris: [] No Visible/Fine Layer ❑ 16 to 1" ❑ > 1" Floor. Debris: No Visible/Fine Layer ❑ h to 1" ❑ > 1" Floor. Debris: D No Visible/Fine Layer ❑ 14 to 1" ❑ > 1" Comments

Date: 5~ i Inspection Team: Name: I,11 Agency: D EP - Name: Agency:

NYC-WTC-000115008