WTC Environmental Inspection Form, 1 Park Row

NYC 9/11 Public Portal Document

WTC Visual Survey Form Premise Address: ` ~ 1 Name of Building: Block: I Residential 0 Commer L Lot: Mix Use fJ Other # of Stories: AKA's: Building Owner ar~agem me . Telephone Number (241) 22 g nti ~,.. Name: FAX:( Address: On Site Contact: Name: ' * .' . ` aLt. Telephone Number. Building Owner Management Activities Interior Survey Performed ❑ Yes No Exterior Survey Performed ❑ Yes No 0 I ~/'~ P ~.{,,,,~' O General Clean Up ❑ Yes J j No Locations: ACM Clean Up ❑ Yes J No Locations: Air Monitoring D Yes ❑ No Locations: Copies of All Reports and Data Requested D Yes

Visual insoection Results: Facade: Inspected De rls North ❑ N/A ❑ Yes ❑ No No Visible/Fine Layer ❑htol" 0>1" South ❑ N/A ❑ Yes ❑ No No Visible/Fine Layer ❑'/to 1" 0>1" East ❑ N/A 0 Yes [] No No Visible/Fine Layer ❑%to1" 0>1" West ❑ N/A ❑ Yes Q No o Visible/Fine Layer ❑ Ya to 1" 0>1" Facade Description:

Roof Debris: 0 No Visible /Fine Layer %toll 0>1 0

Description:

Setbacks N/A ❑ Floor. Debris: 0 No Visible/Fine Layer ❑ 34 to 1" >10 Floor. Debris: No Visible/Fine Layer D % to 1" >1" Floor. Debris: No Visible/Fine Layer % to 1" >10 Floor. Debris: ❑ No Visible/Fine Layer Y to 1" >1" Floor Debris: ❑ No Visible/Fine Layer 34 to 1" > 1"

Comments -Q*-J .~ Le nom. • CJ .Q,,6

Date: ' q (512002 Inspection Team: Name: Agency: ENTERED Name: Agency:

z NYC-WTC-000115756