WTC building inspection form, 25 Park Place, undated

NYC 9/11 Public Portal Document

') WTC Visual Survey Form f fln f O Premise Address: 2 Block: j c.f I Residential 0 Commercial 0 I Name ©of Buii Lot: ix Use Other # of Stories: AKA's: Building Own Man ge t: Telephone Number: ( ) Name: FAX: Address: On Site Con t: ` A ~,~ 3O AAcLo Ae1 Name: Pn ~- 3 t, - Telephone Number: Building Ow a Managem nt 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 Results: Facade: Inspected Debris North ❑ N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer ❑ % to 1" ❑ > 1" South ❑ N1A ❑ No _ .Visible/Fine Layer ❑ V to 1" ❑ > 1" East ❑ N/A Yes ❑ No ❑ No Visible/Fine Layer 0 V to 1" ❑ > 1" West ❑ N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer ❑ %a to 1" 0>1" Facade Description:

Roof

Debris: ' ,No Visible /Fine Layer ❑ h to 1" ` 0>1"

Setbacks N/A ❑ Floor. Debris: ❑ No Visible/Fine Layer ❑'h to 1" ❑ > 1" Floor. Debris: ❑ No Visible/Fine Layer 0 Va to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer ❑ Va to 1" ❑ > 1" Floor: Debris: 0 No Visible/Fine Layer 0 Va to 1" ❑ > 1" Floor. Debris: ❑ No Visible/Fine Layer ❑ h to 1" ❑ > 1" Comments

i Date: / /2002 Inspection Team: Name: Agency: Name: Agency:

NYC-WTC 000115939