WTC building inspection form, 76 Pearl Street, Oct 2001

NYC 9/11 Public Portal Document

WTC Visual Survey Form t0609 -a4omise Address:

Block: Residential Commercial 0 Name of Building: Lot: Mix Use Other # of S es: AKA's: Building O er/Manageme t: Telephone Number. ( ) Name: .- —C 1—L. . FAX: Address: On Site Contact: Name: ' Telephone Number Building Owner Management Activities Interior Survey Performed ❑ Yes ❑ No Exterior Survey Performed ❑ YesE] No General Clean Up Yes No Locations: ACM Clean Up ~] Yes D No Locations: Air Monitoring E] Yes ❑ No Locations: Copies of All Reports and Data Requested DYes

Visual Inspection Results: Facade: Inspected Debris North South 0 N/A ❑ N/A ❑ Yes D No Yes ❑ No R No Visible/Fine Layer No Visible/Fine Layer /to1: n >1** East West ❑ N/A ❑ N/A Facade Description: D Yes [] No D Yes ❑ No A 0 R No Visible/Fine Layer No Visible/Fine Layer B %to 1* 4 to 1* > 1" ❑ > 1'

Roof Debris: l No Visible /Fine Layer 9% to? 9>? Description:

Setbacks N/A Floor____ Debris: D No Visible/Fine Layer ❑14 to r Floor. Debris: ❑ No Visible/Fine Layer [] 14 to 1' Floor. Debris: 0 No Visible/Fine Layer ❑ 3h to? Floor. Debris: t] No Visible/Fine Layer [] 3% to 1' Floor Debris:('] No Visible/Fine Layer 34 to V

Comments

Date: 1412002 Inspection Team: Name: Name: Agency: ENTERED NYC-WTC-000115473