WTC building inspection form, 300 Albany St

NYC 9/11 Public Portal Document

WTC Visual Survey Form Premise Address:.O b P Block: ResidentialN mercial J Name of Building: Lot: Mix Use f Other # of Stories: AKA's: Building Owe /M nagement: Telephone Number: Name: o ~ FAX: Address: On Site Contact: Name: Telephone Number: Building Owner Manage ent Activities tj Interior Survey Performed ~Yes ❑ No Exterior Survey Perfo ed ( 'es ❑ No General Clean Up EYes Q No Locations: ACM Clean Up ❑ Yes ❑ No Locations: Air Monitoring J -Yes Q No Locations: Copies of All Reports and Data Requested,J Yes

Visual Inspection Results: Facade: Inspected Debris North ❑ N/A [3Yes ❑ No ❑ No Visible/Fine Layer ❑ % to 1" ❑ > 1" South ❑ N/A f~Yes ❑ No ❑ No Visible/Fine Layer ❑Y2 to 1" ❑ > 1" East ❑ N/A EYes ❑ No ❑ No Visible/Fine Layer ❑ % to 1" E> 1" West ❑ N/A ['Yes ❑ No ❑ No Visible/Fine Layer ❑ % to 1" ❑ > 1" Facade Description: i cLv 4t

Roof Lt Debris: No Visible /Fine ayer ❑ % to 1" •1 ~t^"'~ 0> 1" 1 •~ "'~ Description:

Setbacks Floor. Debris: ❑ No Visible/Fine Layer ❑ Va to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer Q'/ to 1" ❑ > 1" Floor: Debris: Q No Visible/Fine Layer ❑ V2 to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer ❑ Va to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer ❑ V to 1" ❑ > 1" Comments L _ ~x i ~ ~ ~ C

Date: / /2002 Inspection Team: Name: Agency: Name: Agency: JtY 4 iZzz NYC-WTC 000116390