WTC environmental inspection form, 31 Park Row

Premise Address: 2 1 ~ a r 1- " oc

Block: qo Residential 0 J Commercial p f Name of Building: Mix Use Other _ — Lot fl # of Stories: AKA's: Building OwnerlManagement: 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 j] Yes ❑ No Locations: Copies of All Reports and Data Requested DYes

Visual inspection resume: Facade: Inspected Debris North ❑ N/A ❑Yes ❑ No ❑ No Visible/Fine Layer ❑'/tol" 0>1" South ❑ N/A ❑ Yes [] No ❑ No Visible/Fine Layer ❑%to l" 0>1" East ❑ NIA ❑Yes ❑ No ❑ No Visible/Fine Layer ❑%tol" 0>1" West ❑ N/A ❑ Yes ❑ No .❑ No Visible/Fine Layer ❑%to l" 0>1" Facade Description:

Roof

Debris: 0 No Visible !Fine Layer ❑ h to 1" >1 Description:

Setbacks NIA ❑ Floor. Debris: 0 No Visible/Fine Layer ❑ % to 1" 0>1" Floor ____ Debris: ❑ No Visible/Fine Layer ❑ %to 1" 0>1" Floor Debris: ❑ No Visible/Fine Layer ❑ % to 1" 0>1" Floor____ Debris: ❑ No Visible/Fine Layer ❑ h to 1" 0>1" Floor.____ Debris: ❑ No Visible/Fine Layer ❑ % to 1" 0>1"

Comments

Date: cQ J I 1 12002 Inspection by: Name: CL Agency: t)& Name: Agency:

NYC-WTC 000115628