WTC environmental inspection form, 211 Pearl Street, Sep 2002

NYC 9/11 Public Portal Document

10011200 WTC Visual Survev Form Premise Address: Pew', J Block: Residential D Commercial j J Name of Building: Lot: Mix Use 0 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 0 No General Clean Up ❑ Yes ❑ No Locations: ACM Clean Up ❑ Yes t] No Locations: Air Monitoring [j Yes ❑ No Locations: Copies of All Reports and Data Requested Yes

Visual inspection Kesuim: Facade: Inspected Debris D > 1" North South East DN/A ❑ N/A ❑ N/A ❑Yes❑No ❑ Yes 0 No DYesONo 0 No Visible/Fine Layer ❑ No Visible/Fine Layer g'/2to 1" 14 to 1" ❑ No Visible/Fine Layer ❑htol" 0>1" 0>1" West ❑ N/A ❑ Yes No 0 No Visible/Fine Layer ❑Yto1" 0>1" Facade Description:

Roof Cw j¢~s tN'

Debris: ii yer O'h to I" 0>1" Description: c

Setbacks N/A[] Floor. Debris: 0 No Visible/Fine Layer 014 to 1" D > 1" Floor. Debris: ❑ No Visible/Fine Layer j] % to 1" ❑ > 1" Floor. Debris: ❑ No Visible/Fine Layer ❑'h to 1" ❑ > 1" Floor:.__ Debris: 0 No Visible/Fine Layer ❑'h to 1" [j >1" Floor. Debris: ❑ No Visible/Fine Layer ❑ 14 to 1" > 1"

Comments ,

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Date: ,2 /X12002 Inspection Team: Name: 1MIe Agency: VGr _` Name: Agency: 1f

NYC-WTC 000115368