WTC environmental inspection form, 53 Park Place, undated

NYC 9/11 Public Portal Document

WTC Visual Survey Form Pre&ise Address: .C 0I / 5' -r 2 ' I; Block: Residential Commercial Name of Building: Lot: Mix Use Other # of Stories: AKA's: Building Owner/Management. Telephone Nu er: ( ) Name: FAX: Address: .-.-.-.-.-.-.-.-.-.-.-. .-.-.-.-.-. On Site Contact: Srti t ~ . PI1 0, Name: - V_P' 1"~ Qt % ^` L- Telephone Number: ( a3 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 J Yes

Visual Inspection Results: Facade: Inspected Debris North ❑ N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer ❑ to 1" Y2 ❑ > 1" South ❑ N/A © Yes ❑ No ❑ No Visible/Fine Layer R'/2 to 1" D>1" East ❑ N/A D Yes ❑ No ❑ No Visible/Fine Layer ❑ % to 1" O>1' West ❑ N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer ❑ Y2 to 1" O>1' Facade Description:

Roof

Debris: Q No Visible /Fine yer ❑ %2 to 1" 4' O>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 V O to 1" ❑ > 1" Floor. Debris: ❑ No Visible/Fine Layer ❑ % to 1" ❑ > 1"

Comments

Date: el !/2002 Inspection Team: Name: Agency: Name: Agency:

NYC-WTC-000115797