WTC environmental inspection form, 31 Park Row

NYC 9/11 Public Portal Document

WTC Visual Survey Form Premise Address: 11 Block: Residential UCommercia J Name of Building: Lot: Mix Use Other # 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: -- a 1) S c f ., —.

ACM Clean Up ❑ Yes ❑ No Locations: Air Monitoring j] Yes ❑ No Locations: Copies of All Reports and Data Requested Yes Visual inspection Results: Facade: Inspected Debris North ❑ N/A Yes ❑ No ❑ No Visible/Fine Layer South ❑ N/A D Yes ❑ No ❑ No Visible/Fine Layer ~ %to 1" 0>1" East ❑ N/A ❑ Yes ❑ No [] No Visible/Fine Layer 0 % to 1" 0>1" West ❑ N/A [] Yes [J No ❑ No Visible/Fine Layer 0%tot" ❑>1' Facade Description:

Roof Debris: j[NNo Visible /Fine Layer .9 36 to 1' C]> 1" Description:

Setbacks N/A =] Floor. Debris: 0 No Visible/Fine Layer ❑'/to 1' 0>1' Floor. Debris: 0 No Visible/Fine Layer [] % to 1' 0>1' Floor. Debris: j] No Visible/Fine Layer ❑ h to V 0>1" 0> 1" Floor. Floor 8 Debris: No Visible/Fine Layer ❑ % to 1" Debris: No Visible/Fine Layer j] 14 to 1" 9>1' Comments

Date: I 3 12002 Inspection Team: Name: L Agency: U Name: _Agency:_______ e R E

NYC-WTC-000115630