Correspondence regarding 19 Park Place fine, May 2002

NYC 9/11 Public Portal Document

WTC: Visual Survev FOrm Premise Address: I ci FAX PL ACT Block: Residential J Commercial fi Name of Building: Lot: Mix Use J Other fi # of Stories: AKA's: Building Ow 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 fi Yes

Visual Inspection Results:

Inspected Debris North ❑ N/A ❑ Ye ❑ No ❑ No Visible/Fine Lever ❑ % 1" ❑ > 1" South EJXs ❑ No ❑ No Visibl a erQ4to 1" ❑ > I" East Yes ❑ No ❑ No Visible/Fine Layer ❑ Y2 to 1" ❑ > 1" West F/A ❑ Yes ❑ No ❑ No Visible/Fine Layer Y ❑ %2 to 1" ❑ > 1" Facade Description:

Roof

Debris: ❑ No Visible /Fine Layer ❑ / to 1" •1 °~ "' 'I ❑ > I" `""~ Description:

Setbacks Floor. Debris: ❑ No Visible/Fine Layer ❑'/ to 1" ❑ > 1" Floor. Debris: ❑ No Visible/Fine Layer ❑ Y to 1" ❑ > I" Floor. Debris: ❑ No Visible/Fine Layer ❑ Y2 to 1" ❑ > 1" Floor. Debris: ❑ No Visible/Fine Layer ❑'/% to 1" ❑ > 1" Floor. Debris: ❑ No Visible/Fine Layer ❑'/:to I" ❑ > 1" Comments -ra: 3t ob ~`, - Z

Date: _~/ /2002 Inspection Team: Name: Agency: Name:

NYC-WTC 000115991