WTC debris inspection form, 43 Park Place, undated

NYC 9/11 Public Portal Document

WTC Visual Survey Form remise Address:

Block: Residential D Commercial Name of Building: Lot: Mix Use 0 Other # of Stories: ç AKA's: Building Owner/Management: 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 ❑ 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 El % to 1" 0>1" South ❑ N/A g Yes ❑ No ❑ No Visible/Fine Layer ❑%2to1" 0>I - East ❑ N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer 0%a to 1" 0>1" West ❑ N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer 0%to1" 0>1" Facade Description: y { (~~] 1 /~

Roof Wst u ❑ > 1" 1;d,.,44 . Debris: ❑ No Visible /Fine layer 1,4 1" .1 : Description: i & r'C.~ C--n i ? A. 0!

Setbacks N/A D Floor. Debris: 0 No Visible/Fine Layer ❑ Y to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer ❑ V to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer ❑ %a to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer ❑ Va to 1" ❑ > 1" Floor. Debris: ❑ No Visible/Fine Layer 014 to 1" ❑ > 1" Comments

Date: 0 I/ 12002 Inspection Team: Name: k Agency: T' Name: ii.iv IL t t F! Agency:

NYC-WTC-000115902