WTC facade inspection form for building at 32 [name], 2002

NYC 9/11 Public Portal Document

ti t WTC Visual Survey Form Premise Address: `e

Block: ResidentiaI Commercial J Name of Building: Lot: Mix Use Other #of Stories: fo AKA's: Building Owner/Management: Telephone Number: ( ) Name: FAX: Address: On Site Contacts.. Name: P11 Tele hone Number: Building Owner Management ctivlties Interior Survey Performed Yes ❑ No Exterior Survey Perfo ed es No ❑

General Clean Up s LjNo Locations: ACM Clean Up ❑ Yes [ 4o Locations: Air Monitoring ❑ Yes Locations: Copies of All Reports and Data Requested J J Yes

Visual Inspection Results: Facade: Inspected Debris North ❑ N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer ❑ % to 1" South ❑ N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer ❑ % to 1" East ❑ N/A es❑No o Visible/Fine Layer ❑ Va to 1" West ❑ N/A 17 !es ❑No I Ia Visible/Fine Layer ❑ / to 1" Facade Description:

Roof

Debris: No Visible /Fine Layer ❑ % to l" 0>1" Description:

Setbacks N/A Floor: V Debris: ❑ No Visible/Fine Layer ❑'/ to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer ❑ Va to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer ❑ % to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer ❑'/Y to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer ❑ Va to 1" ❑ > 1"

Comments

Date: 3/ EN 7 0 Inspection Team: Name: Name: '- (I Agency: Agency: V

NYC-WTC- 000115450