WTC inspection form, 215 Pearl Street, 2002

NYC 9/11 Public Portal Document

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WTC Visual Survey Form premise Address: 2/c per'/ eP Block: Residential 0 Commercial jJ Name of Building: Lot: Lj Mix UseD 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 RequestedD Yes

Visual Inscection Results: Facade: Inspected Debris North ❑ N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer ❑%to 1" 0>1" South ❑ N/A ❑Yes ❑ No ❑ No Visible/Fine Layer ❑Yato1" 0>1" East ❑ N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer ❑Y2to 1" 0>1" West ❑ NIA ❑ Yes ❑ No ❑ No Visible/Fine Layer ❑Y2to1" 0>1" Facade Description:

Roof

Debris: '0Ne-Visible /Fine Layer ❑ Y2 to 1" 0>1" Description: r,4.A.#'es L 4k de c-

Setbacks N/A ❑ Floor. Debris: ❑ No Visible/Fine Layer r]'/ to 1" ❑ > 1" Floor Debris: ❑ No Visible/Fine Layer j 1/ to 1" ❑ > 1" Floor Debris: No Visible/Fine Layer ❑ % to 1" ❑ > 1" Floor. Debris: 0 No Visible/Fine Layer ❑ V to 1" ❑ > 1" Floor. Debris: ❑ No Visible/Fine Layer ❑ % to 1" ❑ > 1"

Date: 2- / 20 /2002 Inspection Team: Name: MD1►O_+n Agency: l Name: Agency: I NYC-WTC-000115216