WTC facade inspection form, 102 North End Avenue

NYC 9/11 Public Portal Document ----

WTC Visual Survey Form Premise Address: rr

Block: I Residential Commerci Na of B~}ildina: I (_( Lot: Mix Use Other[] Fd'~eJ # of Stories: AKA's: Building Owner/Management: Telephone Number: ( ) Name: FAX: Address: On Site Cotac~: ~ Name: v~~, o'- '\- i^ ` _ , -`~ Telephone Number: g 3/— 2 Building Owner Management Activities Interior Survey Performed es ❑ No krl ' QS Exterior Survey Performed es ❑ No General Clean Up Yes 9 No Locations: ACM Clean Up Q4YesDNo Locations: t c N Vac — U^^^ c Air Monitoring Yes ❑ No Locations: C 2 o ie of All Reports and ata Re u sted Yes

Visual Inspection Results: Facade: Inspected Debris North ❑ N/A JgYes ❑ No N4Jo Visible/Fine Layer ❑'/2 to 1" ❑ > 1" South ❑ N/A [3Yes ❑ No No Visible/Fine Layer 9 V to 1" ❑ > 1" East ❑ N/A gYes ❑ No No Visible/Fine Layer ❑ % to 1" ❑ > 1" West ❑ N/A [ -es ❑ No o Visible/Fine Layer ❑ a to 1" ❑ > 1" Facade Description: 1

Roof

Debris: No Visible /Fine yer Description: -~,

Setbacks N/A [] Floor: Debris: 9 No Visible/Fine Layer 9 V to 1 ❑ > 1" Floor: Debris: No Visible/Fine Layer ❑ h to? ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer ❑% to? ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer ❑ % to 1" 0>? Floor: Debris: ❑ No Visible/Fine Layer ❑ % to? ❑ > 1" Comments /b -oS 1 1 _

ZIA of l Gtn. _ ✓a E~.~^9 Date: / 7i x2002 Inspection Team: Name: L Agency: Name: Agency:

NYC-WTC 000116077