WTC environmental inspection form, 126 Pearl Street, Sep 2002

NYC 9/11 Public Portal Document

WTC Visual Survey Form Pxetbiae Address: ^ ~/

Block: I Residehtial 0 Commercial jj Name of Building: Lot J,fl Mix Uses Other # of Stores: AKA's: Building Owner/Management: Telephone Number. ( ) Name: Mc- FAX: Address: On Site Contact: Name: fr .1 Yb Telephone Number. Building Owner Management Activities interior Survey Performed ❑ Yes Q No Exterior Survey Performed 8 Yes 0 No General Clean Up ❑ Yes 9 No Locations: ACM Clean Up ❑ Yes 9 No Locations: Air Monitoring 9 Yes ❑ No Locations: Copies of All Reports and Data Requested j Yes Visual Inspection Results: Facade: Inspected Debris North ❑ NIA ❑ Yes ❑ No ❑ No Visible/Fine Layer 0 % to 1" 0>1" ❑ % to l" South East West ❑ N/A ❑ N/A ❑ N/A ❑ Yes rl No

[] Yes No Yes ❑ No R No Visible/Fine Layer No Visible/Fine Layer 0 No Visible/Fine Layer ❑ % to l" ❑%tol" 0>1" 0>1" 0>1" Facade Description: -n

Roof

Debris: No Visible /Fine Layer .❑ 34 to 1" 0>1" Description:

Setbacks N/A Floor. Debris:DNo Visible/Fine Layer 04 to 1" 0>1" Floor. Debris: ❑ No Visible/Fine Layer '/% to 1" ❑>1" Floor. Debris: 0 No Visible/Fine Layer a to 1" 9>1" Floor. Debris: No Visible/Fine Layer % to 1" >I" Floor: Debris: No Visible/Fine Layer % to 1" >1 "

Comments

Date: /lt2002 Inspection Team: Name: Agency: Name: Agency: wr

NYC-WTC-000115375