WTC environmental inspection form, 53 Park Place, undated

NYC 9/11 Public Portal Document A

WTC Visual Survey Form Premise Address: j Block: Residential b Commercial J Name of Building: Lot: IMixUsefl Other I # of Stores: AKA's: Building Owner/Management Z'/ Telephone Nu r. ( ) Name: FAX: Address: On Site Contact: 3 ©v y? Name: P, 4'P(& 1"Z1 ` L"L'~ Telephone Number: ( a.33 77t i Building Owner Management Activities Interior Survey Performed ❑ Yes ❑ No Exterior Survey Performed ❑ Yes ❑ No General Clean Up ❑ Yes O No Locations: ACM Clean Up O Yes O No Locations: Air Monitoring ❑ Yes ❑ No Locations: Copies of All Reports and Data Requested Yes

Visual Ins on Results: de Faca Inspected Debris North ❑ N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer ❑ 2 to 1" O>1" South ❑ N/A Yes ❑ No ❑ No Visible/Fine Layer 01/: to 1" O>1" East ❑ N/A N Yes ❑ No ❑ No Visible/Fine Layer ❑ % to 1" O>1" West ❑ N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer ❑ 2 to 1" O>1" Facade Description:

Roof

Debris: ❑ No Visible /Fine yer ❑ 6 to 1" 4 , Description: I

Setbacks N/A ❑ p ' u_ Floor. Debris: ❑ No Visible/Fine Lays i1/ 'Floor. Debris: O No Visible/Fine Layer \"` ` Floor: Debris: ❑ No Visible/Fine Layer Floor. Debris: ❑ No Visible/Fine Layer 1 Floor. Debris: [] No Visible/Fine Layer L

Comments

Date: dl I /2002 Inspection Team: Name: Agency: Name: li r Agency:

NYC-WTC 000115806