WTC building inspection form, 35 Street, 2002

NYC 9/11 Public Portal Document

WTC Visual Survey Form Q 0 I Z-7 1., Premise gddress: 35 A 0'1 - IOg /U~ ~, Block: Residential Commercial p Name of Building: Lot: Mix Use D Other ❑ # of Stories: AKA's: Building Owner/Management Telephone Number ( ) Name: FAX: Address: On Site Contact: Name: Telephone Number. ' Building Owner Management Activities Interior Survey Performed ❑ Yes ❑ No Exterior Survey Performed ❑ Yes ❑ No General Clean Up ❑ Yes ❑ No Locations: ACM Clean Up ❑ Yes ❑ No Locations: Air Monitoring ❑ Yes ❑ No Locations: Copies of All Reports and Data Requested ❑ Yes

Visual Inspection Results: Facade: Inspected Debris North ❑ N/A ❑ Yes ❑ No []No Visible/Fine Layer to1" ❑>1" South ❑ N/A ❑ Yes ❑,No ❑ No Visible/Fine Layer X to1" East ❑ N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer to 1" > 1" West ❑ N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer to1" ❑>1" Facade Description:

Roof

Debris: ❑ No Visible /Fine Layer /2 to 1" ❑ > 1" Description:

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

Date: __ ._/ /2002 Inspection by: Name: Agency: Name: Agency:

NYC-WTC 000116547