WTC facade inspection form, 23 Park Row, 2002

NYC 9/11 Public Portal Document

WTC Visual Survey Form Premise Address: *" t

Block: Residential 0 Commercia Name of Building: Lot: Mix Use 9 Other # of Stories: AKA's: Building ~Oner anag ment: Telephone Number. fin) 3 v4 Name: V'I' t o~.Q.. ~i. FAX: Address: On Site Contact: Name: " Telephone Number. Building Owner Management Activities interior Surve Performed Yes Exterior Surveyy Performed g Yes[] ❑ No it S 7k L ti o Ulu General Clean Up ❑Yes ❑No Locations: ACM Clean Up ❑ Yes 0 No Locations: Air Monitoring j] Yes[] No Locations: Copies of All Reports and Data Requested J Yes

Visual Inspection Results: Facade: Inspected Debris North ❑ N/A ❑ YesQNo ❑ No Visible/Fine Layer ❑ %% to 1" 0>1" South East West ❑ N/A ❑ N/A ❑ N/A [] Yes D No 9 Yes ❑ No DYesDNo R No Visible/Fine Layer No Visible/Fine Layer % R°" H>1" to 1" ❑ No Visible/Fine Layer ❑Mato 1" >1" 0>1" Facade Description:

Roof Debris: ❑ No Visible /Fine Layer to? 0201" Description: '\ p

Setbacks N/AD Floor. Debris: 0 No Visible/Fine Layer ❑ 34 to 1' ❑ 1" Floor. Debris: ❑ No Visible/Fine Layer [] h to 1' D>1" Floor. Debris: ❑ No Visible/Fine Layer ❑ 4 to 1" 0>1' Floor Debris: Q No Visible/Fine Layer ❑'h to 1' Floor____ Debris: (] No Visible/Fine Layer j] 34 to 1' 0> 1" to Comments L .iL1,c. 1t1St

Date: ii3 ,1200: Inspection Team: Name: Agency: Name: Agency: ENTERED NYC-WTC 000115508