License agreement for facade cleanup, 22 Thames St, Oct 2002

NYC 9/11 Public Portal Document

WTC Visual Survey Form OOro3y Premise_ Address: ç \- 2L4 CC Block: ç I Residential L1 Commercial INgeofBuildirm: Lot: Mix Use ❑ Other ❑ • ~.,~~ ~.- ecL c,L,,,, # of Stories: \S AKA's: 22 ; K m s zç - I 5 z- Nit c.ç Buildin Owner/Management: Telephone Number: (Z z) 3o G. Name: a~, 0 ovt c- V ? CIE"C--`E FAX: Address: - On Site Con t: `` i Name: ' ' S • ~a 1..p✓~ew~' c Telephone Number: ) vG Building Owner Managementctivities Interior Survey Performed es ❑ No Exterior Survey Performed EYes ❑ No General Clean Up 2'Yes ❑ No Locations: ACM Clean Up ❑ Yes, No Locations: Air Monitoring 5'es ❑ No Locations: Copies of All Reports and Data Requested' Yes 7 ' Visual Inspection Results: Facade: Inspected Debris North /A ❑ Yes ❑ No ❑ No Visible/Fine Layer ❑ Y to 1" 0>1" South N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer [D'/ to 1" 0>1" East ❑ N/A Yes ❑ No g -No Visible/Fine Layer ❑ a to 1" ❑ > I" West ❑ N/A Yes ❑ No No Visible/Fine Layer ❑ % to 1 ❑ > 1" Facade Description:

Roof E st; N Debris: ❑ No Visible /Fine L.ayer ❑ % to 1" > 1" Description:

Setbacks NIA ❑ Floor: Debris: ❑ No Visible/Fine Layer ❑ h to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer ❑ Y2 to 1" ❑ > 1" 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 1" ❑ > 1"

Comments ALP- RAcArJ 1 rLW V P

Date: t / 2- /2002 Inspection Team: Name: L k"\ Lv. Agency: )7 Name: Agency:

NYC-WTC- 000116120