Site identification list, 22 Thames St

NYC 9/11 Public Portal Document

WTC Visual Survey Form Pr emise Address: -2- Block: 5j Residential J CommerciaF Name of Building: Lot: Mix Use ❑ Other ❑ 'M —( # of Storie : ? AKA's: - .., Building wn ir/_Manaa.e.me.nt:................... Telephone Number: ( PII ------------------ - Name: =.=.Y.=.=._._._._._._.=.=~.Y. P. ._._._._._._.=~.=.Y.=.=._._._._._._._._._._ `~ FAX: ( ) Address Co.ntact:._._._._._._._._._._.P_II . . .' .......... On Site -------- Name: P11 Telephone Number - PII ._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._ Building C)wner l~(anagemen Interior Survey Performed es ❑ No Exterior Survey Perfo ed " Yes ❑ No General Clean Up iY Yes ❑ No Locations: ACM Clean Up ❑ Yes 710 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 ❑'h to I" ❑ > 1" South 'N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer ❑ 1/2 to 1" ❑ > 1" East ❑ N/A RIYes ❑ No ❑ No Visible/Fine Layer ❑ % to 1" 1" West ❑ N/A jaYes ❑ No ❑ No Visible/Fine Layer ❑'/2 to 1" ' > 1" Facade Description:

Roof p%J5t; .LA.4 Debris: ❑ No Visible /Fine tayer ❑ /2 to 1" .1 Description: D I Q Cr*.'

Setbacks N/A ❑ Floor: Debris: ❑ No Visible/Fine Layer ❑'/ to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer ❑ /z to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer ❑ /2 to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer ❑ / to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer ❑ % to 1" ❑ > 1"

Comments

Date: \_I Z' /2002 Inspection Team: Name: (` '- Agency: Name: Agency:

NYC-WTC-000116134