WTC facade inspection form, 23 Park Row, 2002

NYC 9/11 Public Portal Document

WTC Visual Survey Form 10øt 2 Premise Address: 2. Pgr 1r ~OMb Block: 4D Residential jJ Commercial p Name of Building: Lot: j Mix usetj Other * of Stores: ' 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 U No General Clean Up ❑ Yes No Locations: ACM Clean Up [] Yes No Locations: Air Monitoring D Yes L] No Locations: Copies of All Reports and Data Reguestedfl Yes Visual InsDection Results: Facade: Inspected Debris North r] NIA Yes 9 No No Visible/Fine Layer 'A to 1' 0> 1 ' South 0 N/A Yes No No Visible/Fine Layer '/s to 1' > 1' East N/A Yes No No Visible/Fine Layer '% to 1' > 1' West N/A D Yes No No Visible/Fine Layer y4 to 1' > 1' Facade Description:

Roof

Debris: No Visible /Fine Layer r] 3h to 1' ' 9>1k Description:

Setbacks NIA91 Floor___ Debris: No Vislble/Fine Layer '% to 1' t] > 1' Floor___ Debris: No Visible/Fine Layer 3.4 to 1' > 1' Floor.____ Debris: No Visible/Fine Layer % to 1' >V Floor. Debris: No Visible/Fine Layer % to 1' > 1' Floor. Debris: No Visible/Fine Layer % to 1' Hx~ 1'

Date: JDjjj2Q2e Inspection Team: Name: A jA O Ltl .,_Agency: AMC .t S Name: Agency:

NYC-WTC-000115507