WTC building inspection form, 33 Park Place, unknown date

NYC 9/11 Public Portal Document

WTC Visual Survey Form Premise Address: (ii Block: Residential 0 Commercial Name of Building: Lot: Mix Use 0 Other # of Stories: 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 Q No Locations: Air Monitoring ❑ Yes Q No Locations: Copies of All Reports and Data Requested p Yes

Visual inspection Results: Facade: Inspected Debris North ❑ N/A Q Yes Q No ❑ No Visible/Fine Layer ❑%to l" 0>1" South ❑ N/A ❑ Yes Q No ❑ No Visible/Fine Layer ❑%tol" 0>1" East ❑N/A ❑ Yes QNo ❑ No VSible/Fine Layer ❑%tol" 0>1" West ❑ N/A ❑ Yes Q No ❑ No Visible/Fine Layer ❑Ytol" 0>1" Facade Description: ti

~ Roof r Debris: ❑ No Visible /Fine yer 0Y to 1" ? " 0>1" 'I Description:

Setbacks N/A ❑ Floor. Debris: ❑ No Visible/Fine Layer ❑'/ to 1" 0>1" Floor. Debris: 0 No Visible/Fine Layer ❑ Y2 to 1" 0>1" Floor. Debris: ❑ No Visible/Fine Layer ❑ % to 1" 0>1" Floor. Debris: ❑ No Visible/Fine Layer ❑ 34 to 1" 0>1" Floor Debris: Q No Visible/Fine Layer ❑ % to 1" 0>1"

I Comments

Date: ~/'`a /2002 Inspection Team: Name: _ Agency: Name: Agency:

NYC-WTC-000115935