WTC facade inspection form for building on Pearl Street, 2002

NYC 9/11 Public Portal Document

1001ILe WTC Visual Survey Form Premise Address: per/ S eeJ 2l3" Block: 9 ResidentialD Commercial 0 Name of Building: Lot: 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 Requested J Yes

visual inspection Results: Facade: Inspected Debris North South East ❑ N/A ❑ N/A ❑N/A ❑ Yes ❑ No ❑ Yes ❑ No ❑Yes❑No R No Visible/FineLayer ❑'Y2to1" No Visible/Fine Layer ❑Yatol" ❑ No Visible/Fine Layer ❑vtor ❑>1" 0>1" ❑>1" West ❑ N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer ❑Ytol" 0>1" Facade Description:

Roof Debris: hto1" ❑>1" Description:

Setbacks N/A ❑ Floor. Debris: ❑ No Visible/Fine Layer ❑ % to 1" ❑ > 1" Floor. Debris: 0 No Visible/Fine Layer ❑ % to 1" >1" Floor. Debris: ❑ No Visible/Fine Layer ❑ h to 1" >1" Floor. Debris: ❑ No Visible/Fine Layer ❑ 34 to 1" >1" Floor Debris: ❑ No Visible/Fine Layer •❑ 4 to 1" 0>1"

Comments r ,

Date: 2 /=/2002 inspection Team: Name: Agency: Name: Agency:

NYC-WTC-000115220