WTC environmental inspection form, 31 Park Row

NYC 9/11 Public Portal Document

WTC Visual Survey Form (' .1001ZS Premise Address:

Block: co 3 omI-a r

ResidentialD Commercial 'RO Lz Name of Building: Lot: % . Mix UseD Other 0 ~ -~ # of Stories: 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 ❑ No General Clean Up ❑ Yes ❑ No Locations: ACM Clean Up ❑ Yes ❑ No Locations: Air Monitoring ❑ Yes ❑ No Locations: Copies of All Reports and Data Requested Yes visuall inspection Results: Facade: Inspected Debris North ❑ N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer ❑ % to 1" []>i" South ❑ N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer ❑ Yz to 1" 0>1" East ❑ N/A ❑ Yes ❑ No ❑ No Vsible/Fine Layer 034t01" 0>1" West ❑ N/A ❑ Yes 0 No ❑ No Visible/Fine Layer ❑'/ to 1" ❑ > 1" Facade Description:

Roof

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

Setbacks N/A ❑ Floor Debris: ❑ No Visible/Fine Layer ❑ % to 1" ❑ > 1" Floor. Debris: ❑ No Visible/Fine Layer ❑ % to 1" ❑ > 1" Floor. Debris: ❑ No Visible/Fine Layer ❑ % to 1" ❑ > 1" Floor. Debris: ❑ No Visible/Fine Layer ❑ to 1" ❑ > 1" Floor Debris: ❑ No Visible/Fine Layer ❑ % to 1" ❑ > 1" Comments

Date: & /-/2002 Inspection by: Name: CL Agency: DE P Name: Agency:

NYC-WTC 000115620