Building inspection checklist for 300 Albany Street

NYC 9/11 Public Portal Document

WTC Visual Survey Form Premise Address: 20 32 '32 33i 3G 3 -~ . Block: Residential Conjrnercial J N e of Building: Lot: 75 Oc Mix Use Other # of Stories: AKA's: Building O er/Management: Telephone Number: ( - ) S3.4 -- Name: 1ti r d Cy r FAX: Address: On Site Contact: Name: Telephone Number: ( ) Building Owner Management Activities Interior Survey Performed [ 1Yes ❑ No Exterior Survey Perfo ed 2Yes ❑ No General Clean Up [JYes ❑ No Locations: ACM Clean Up ❑ Yes -No Locations: Air Monitoring B'Yes [J No Locations: Copies of Al! Reports and Data Requested Yes Visual Inspection Results: Facade: Inspected Debris North ❑ N/A © Yes ❑ No ❑ No Visible/Fine Layer ❑ Y2 to 1" ❑ > 1" South ❑ N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer ❑'/2 to 1" ❑ > 1" East ❑ N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer ❑ Y2 to 1" ❑ > 1" West ❑ N/A [ "Yes ❑ No ❑ No Visible/Fine Layer ❑ /2 to 1" ❑ > 1" Facade Description: l /~ ,// _

Roof I Debris: No Visible !Fine ayer ❑ V to 1" •1 ~"'''~ ❑ > 1" •~ "'~ Description:

Setbacks N/AZ} Floor: Debris: ❑ No Visible/Fine Layer ❑Y2 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 0 V to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer ❑ Va to 1" ❑ > I" Comments

Date: k / 2-(/2002 Inspection Team: Name: Agency: Name: Agency: E N T E R E r) NYC-WTC 000116230