WTC visual survey form, 330 Pearl Street, Sept 2001

NYC 9/11 Public Portal Document

WTC Visual Survey Form tool'3c Premise PII Block: Residential Commercial D Name of Building: Lot: I Mix Use 0 Other # of Stories: AKA's: Building Owner/Management: Telephone Number: (7Ii) b- Name: S i c,zD mci"n FAX: Address: I 13 3r I votc On Site Contact:.-.-.-. ._s._._._.t.aJI r-E ; ----------------------------------------------- ------ - Name: PII Telephone Number: € P!! Building Owner'Nta'- 'nagementActivities Interior Survey Performed ❑ Yes ❑ No Exterior Survey Performed ❑ Yes ❑ No General Clean Up j$ Yes ❑ No Locations: ACM Clean Up ❑ Yes ❑ No Locations: Air Monitoring ❑ Yes ❑ No Locations: Copies of All Reports and Data Requested j Yes

Visual Inspection Results: Facade: Inspected Debris North ( N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer ❑ % to 1" O>1" South ®N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer 0114t01" O>1" East ®N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer 0114t01" O>1" West N/A j)Yes ❑ No No Visible/Fine Layer ❑ %z to 1" ❑ > 1" Facade Description: kSf FAc4.DG wAS C%e. EA~I E1 4p ñ'2-(. iu4J r. 4-

Roof

Debris: 2No Visible F]'/Z to 1" O>1" Description:

Setbacks N/A 0 ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer ❑Y to 1" Floor: Debris: ❑ No Visible/Fine Layer ❑ /s to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer ❑ /z to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer ❑'/ to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer ❑ % to 1" ❑ > 1"

Comments

Date: 2- / I .c /2002 Inspection Team: Name: Agency: DEP. Name: Agency: r~ NYC-WTC-000115063