WTC facade inspection form, 23 Park Row, 2002

NYC 9/11 Public Portal Document

WTC Visual Survey Form 1.0 O12 4r A Premise Address• Block: q ResidentialD Commercial JJ Name of Building: Lot: Mix UseD Other # of Storles: AKA's: Building Owner/Management Telephone Number. j j Name: FAX: Address: On Site Contact Name: - - Telephone Number. Building Owner Management Activities Interior Survey Performed ❑ Yes Q No Exterior Survey Perfor med [j Yes j] No General Clean UP Yes No Locations: ACM Clean Up Yes No Locations: Air Monitoring 9 Yes 9 No Locations: Copies of All Reports and Data Requested J Yes Visual Inspection Results: Facade: Inspected bras North N/A Yes No No Visible/Fine Layer 3 to 1" > 1" South N/A Yes No No Visible/Fine Layer 34 to 1 0 >10 East Q N/A Yes No J rJo Visible/Fine Layer 34 to 1" > 1' West N/A Yes No No Visible/Fine Layer 36 to 1 0 >10 Facade Description:

Roof Debris: VNo Vsibie /FineLayer O 34 to 1" ' " 9>1' Description:

Setbacks NIA19 Floor.___ Debris: No Visible/Fine Layer 3+4 to 1" >1' Floor. Debris: No Visible/Fine Layer % to 1" > 1" Floor._ Debris: No Visible/Fine Layer % to 1" >10 Floor: Debris: No Visible/Fine Layer 34 to 1' >1' Flow: Debris: No Visible/Fine Layer 36 to 1" >10

Date: 1/J„/2002 Inspection Team: Name: Name: DAIADZ 0 Agency.k j Agency:

NYC-WTC-000115506