WTC inspection form, 213 Pearl Street, 2002

NYC 9/11 Public Portal Document

WTC Visual Survey Form V-9 'Premise Address: 21,3 p4 S/'4 • Block: Residential 0 Commercial D Name of Building: Lot: 5 Mix Use j 1 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 Yes

Visual insoection Results: Facade: Inspected Debris North tgN/A ❑ Yes ❑ No ❑ No Visible/Fine Layer ❑Yzto 1" 0>1" South g N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer ❑Mato 1" 0>1" East ❑ N/A J Yes ❑ No [ No Visible/Fine Layer ❑Vator 0>1" West NIA DYesDNo 0 No Visible/Fine Layer ❑%to1" 0>1" Facade Description:

Roof Debris: [~ Fine Layer ❑ Ya to 1" 0>1" Description: i ispecled fr trrr, ao p2 r1 S e-b

Setbacks N/A j~7J Floor. Debris: ❑ No Visible/Fine Layer ❑ V to 1" ❑ > 1" Floor. Debris: 0 No Visible/Fine Layer ❑ Va to 1" ❑ > 1" Floor. Debris: ❑ No Visible/Fine Layer ❑ Va to 1" ❑ > 1" Floor. Debris: ❑ No VSible/Fine Layer ❑ Va to? ❑ > 1" Floor. Debris: 0 No Visible/Fine Layer 0 % to 1" ❑ > 1"

Comments

Date: /Lo 12002 Inspection Team: Name: Agency: Name: Agency: I .

NYC-WTC-000115245