WTC facade inspection form, 102 North End Avenue

NYC 9/11 Public Portal Document

WTC Visual Survey Form rer.~ise Address: - . f' 'L Block: I Residential 0 Commerci Na of 8 idin : Lot: f Mix Use f J Other IGS, # of Stories: AKA's: Building Owner/Management: Telephone Number: ( ) Name: Qa FAX: Address: On Site o : Name: • Co,TkA~0'"N' — Telephone Number: 3 /- 2 Building Owner Management Activities Interior Survey Performed es ❑ No l QS Exterior Survey Perforrped YesDNo General Clean Up Qes D No Locations: t W _'`^ ►^V 1~v sue ,~ ACM Clean Up Yes ❑ No Locations: I c. tN V c-c — Air Monitoring Yes ❑ No Locations: C e eopies of All Reports and atn Re u sted Yes Visual Inspection Results: Facade: In pected Debris North ❑ N/A Yes ❑ No o Visible/Fine Layer ❑ Ya to 1" 0>1" South 0 N/A es❑No No Visible/Fine Layer ❑ V2 to 1" 0>1" East ❑ NIA [aYes ❑No No Visible/Fine Layer ❑ % to 1" ❑ > 1" West ❑ N/A j -Yes❑No jZj o Visible/Fine Layer ❑ Va to 1" ❑ > 1" Facade Description:

Roof

Debris: No Visible to 1 " Description: •-'_

Setbacks N/A ❑ Floor: Debris: ❑ No Visible/Fine Layer ❑'/ to 1" 0>1" Floor: Debris: ❑ No Visible/Fine Layer ❑ % to 1" 0>1" Floor: Debris: 0 No Visible/Fine Layer 034 to 1" 0>1" Floor: Debris: ❑ No Visible/Fine Layer ❑ V to 1" Floor: Debris: ❑ No Visible/Fine Layer ❑ % to 1" R;0 1"

Comments

Uv :rte 2 '~

/ 7i /2002 t L v Date: Inspection Team: Name: Agency: Name: Agency:

NYC-WTC-000116071