Site identification list, 22 Thames St

NYC 9/11 Public Portal Document

WTC Visual Survey Form Premise Addres. ^~

Block: Residential Commercia Na a of Buildin Lot: Mix Use ❑ er F N~ # of Stories: l? AKA's: 2 . l wn r/ g ent: Telephone Numb D (~ Name: B uidin w M a wem e k- ) Address: On Site Con ct: Name: -- a c V~~Ye.w ~ Telephone Number: (2,f . ) 3 - 113 Building Owner ManagemençActivities Interior Survey Performed es ❑ No Exterior Survey Perfo ed Yes ❑ No General Clean Up 1 Yes ❑ No Locations: ACM Clean Up El Yes 'o Locations: Air Monitoring ❑ Yes No Locations: Copies of All Reports and Data Requested es

Visual Inspection Results: Facade: Inspected Debris North MN/A ❑ Yes ❑ No ❑ No Visible/Fine Layer E]'/z to 1" 0>1' South EN/A ❑ Yes ❑ No ❑ No Visible/Fine Layer ❑'h to 1" ❑ > 1" East ❑ N/A RIYes ❑ No ❑ No Visible/Fine Layer ❑'/2 to 1" 1" West ❑ N/A Jyes ❑ No ❑ No Visible/Fine Layer ❑ % to 1" 1" Facade Description:

Roof

Debris: ❑ No Visible /Fine ayer ❑'/ to 1" > 1" Description:

Setbacks N/A ❑ Floor: Debris: ❑ No Visible/Fine Layer ❑ % to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer ❑ % to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer ❑ Y to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer ❑ / to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer ❑ % to 1" ❑ > 1"

Comments

Date: ,_/Z' \_/ 2- )' /2002 Inspection Team: Name: (kL 1 ic Agency: Name: Agency:

NYC-WTC-000116133