Building inspection checklist for 300 Albany Street

NYC 9/11 Public Portal Document

WTC Visual Survey Form Premise Address:

Block: Residential Co erciai N e of Bu (ding: Lot: Mix Use J Other # of Stories: AKA's: Building er/Management Telephone Number: ( x.) Say —1 11 I Cc, FAX: Address: On Site Contact: Name: Telephone Number. Building Owner Management Activities Interior Survey Performed ['Yes ❑ No Exterior Survey Perppned ❑"Yes ❑ No General Clean Up Yes ❑ No Locations: ACM Clean Up 0 Yes No Locations: Air Monitoring EYes ❑ No Locations: Copies of All Reports and Data Requested Yes Visual Inspection Results: Facade: Inspected Debris North ❑NIA ©Yes❑No ❑ No Visible/Fine Layer ❑'/sto l" 0>1" South ❑ N/A [D Yes ❑ No ❑ No Visible/Fine Layer ❑Mato 1" 0>1" East ❑ N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer ❑Yatol" 0>1" West ❑ N/A Q'Yes ❑ No ❑ No Visible/Fine Layer ❑ Ya to 1" 0>1" Facade Description• tt LS, J d0 - S

Roof

Debris: , No Visible /Fine Layer ❑ % to 1" 1•~"" ❑ > 1" 1 •'"'~ Description:

Setbacks N/A) Floor. Debris: ❑ No Visible/Fine Layer ❑'/a to 1" ❑ > 1" Floor. Debris: 0 No Visible/Fine Layer ❑'/a to 1" ❑ > 1" Floor. Debris: ❑ No Visible/Fine Layer ❑ % to 1" ❑ > 1" Floor. Debris: ❑ No Visible/Fine Layer ❑ Ya to 1" ❑ > 1" Floor. Debris: ❑ No Visible/Fine Layer ❑'/a to? ❑ > 1" Comments

Date: I / 2 /2002 Inspection Team: Name: Agency: Name: Agency:

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