WTC building inspection form, 100 Old Slip

NYC 9/11 Public Portal Document

V WTC Visual Survey Form re~iise,Address: . L` lock: Residential D Commercial Name of Building: Lot Mix Use D Other # of Stories: AKA's: Building O.wwtti~e s ement Telephone Number ( ) Name: N"1.~ Address: P FAX:

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 RequestedDyes

Visual inspection Results: Facade: Inspected Debris North N/A Yes No No Visible/Fine Layer % to 1' >1' South N/A Yes No No Visible/Fine Layer 36 to 1' >V East N/A Yes No No Visible/Fine Layer 36 to 1' > 1' West N/A Yes No No Visible/Fine Layer h to 1' > 1' Facade Description: _n

Roof Debris: 'v Visible /Fine Layer 934 to 1' 9>1' Description:

Setbacks Floor:_ Debris: No Visible/Fine Layer 34 to 1' >1' Fir____ Debris: No Visible/Fine Layer 14 to 1' >1' Floor.____ Debris: No Visible/Fine Layer 34 to 1' >1' Floor____ Debris: No Visible/Fine Layer 14 to 1' >1' Floor. Debris: No Visible/Fine Layer 36 to1' >1' Comments

Date: ft I )iiOO2 hspec tion Team: Name: '-- Agency: Name: Agency:

NYC-WTC-000116107