WTC inspection form, 212 Pearl Street, 2002

NYC 9/11 Public Portal Document

4 / ' 1001133 wrc Visual Survey Form Premise Address: Block:71) ResidentialD Commercial Name of Building: Lot: Mix UseD Other # of ories: AKA's: Building Owner MAnagem..&MR._._._-._._._._._._._._._._._._._._ Pii ,~ ----------- Telephone Number. _._._._._._._._._._.------- Name: P 11 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 0 No Locations: 8 ACM Clean Up 0 Yes ❑ No Locations: Air Monitoring ❑ Yes ❑ No Locations: Copies of All Reports and Data Requested J Yes

Visual inspection Results: Facade: Inspected Debris North O N/A YeiDNo , -N Visible/Fine Layer _]%to 1" O>1" South ❑ N/A es ❑ No No Visible/Fine Layer O%to1" ❑>1" East ❑ N/A ies ❑ No No Visible/Fine Layer ❑%to1" O>1" West ❑ N/A fl esDNo JN o Visible/Fine Layer ❑ % to 1" O>1" Facade Description:

Roof

Debris: 0 No Visible /Fine Layer to 1" ❑ > 1" Description: Cn2 a t.w W

Setbacks N/A ❑ Floor. Debris: 0 No Visible/Fine Layer [] % to 1" O>1" Floor. Debris: 0 No Visible/Fine Layer 0% to 1" ❑ > 1" Floor. Debris: 0 No Visible/Fine Layer j] h to 1" O> 1" Floor. Debris: ❑ No Visible/Fine Layer ❑ % to 1" O>1' Floor Debris: ❑ No Visible/Fine Layer ❑ 36 to 1" O>1' Comments I~}/~ , at f0. 0~ as tit

Date: I 12002 inspection Team: Name:_CI Agency: GR Name: Agency: EN TERED NYC-WTC 000115304