WTC building inspection form, 34 Park Row, Oct 2001

NYC 9/11 Public Portal Document

WTC Visual Survav Form RIJ 160125 '1 Premise Address:

Block: 9 d sq pay-L Residential -Row Name of Building: D Commercial JJ Lot: 3 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 Yes visual Inspection Results: Facade: Inspected Debris North ❑ NIA ❑ Yes ❑ No ❑ No ViSible/Fine Layer ❑ % to 1" []> 1" South ❑ N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer ❑ Y2 to 1" J>1" East ❑ N/A ❑ Yes ❑ No ❑ No ViSible/Fine Layer ❑ % to 1" 0>1" West ❑ N/A ❑ Yes ❑ No ❑ No ViSible/Fine Layer ❑'/ to l" 0>1" Facade Description:

Roof

Debris: ❑ No Visible /Fine Layer ❑ % to 1" Description: _

Setbacks N/A ❑ Floor. Debris: ❑ No Visible/Fine Layer ❑ % to 1" ❑ > 1" Floor. Debris: ❑ No Visible/Fine Layer ❑ % to 1" ❑ > 1" Floor. Debris: ❑ No ViSible/Fine Layer ❑ % to 1" ❑ > 1" Floor Debris: ❑ No Visible/Fine Layer ❑ % to 1" ❑ > 1" Floor. Debris: ❑ No ViSible/Fine Layer ❑ % to 1" ❑ > 1" Comments

Date: )/ 17 /2002 Inspection by: Name: C Agency: DG P Name: Agency:

NYC-WTC 000115426