WTC Environmental Inspection Form, 1 Park Row

NYC 9/11 Public Portal Document

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Premise Address: WTC Visual Survey Form (0 QUQ I 1 `""tea r lC ®vim S

Block• Qu Residential 0 Commercial p Name of Building: Lot: I . Mix Use JJ Other # of Stories: AKA's: Building Owner/Management: e Telephone Number. ( ) t 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 visual inspection Kesuits: Facade: Inspected Debris North ❑ N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer ❑'/ to 1" 0>1" South ❑ N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer ❑ Va to 1" ❑ > 1" East ❑ N/A ❑ Yes ❑ No ❑ No Vsible/Fine Layer ❑ Y to 1" 0>1" West ❑ N/A ❑ Yes ❑ No ❑ No Vsible/Fine Layer ❑ % to 1" 0>1" Facade Description:

I Roof Debris: ❑ No Visible /Fine Layer ❑% to 1" '1> 1"

Setbacks N/A ❑ Floor. Debris: ❑ No Visible/Fine Layer ❑ V 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" 0>1" Floor Debris: ❑ No Visible/Fine Layer ❑ % to 1" ❑ > 1" Comments

Date: cc) / 17 /2002 Inspection by: Name: CG Agency: De P Name: Agency:

NYC-WTC- 000115758