WTC building inspection form, 96 Trinity Place, 2002

NYC 9/11 Public Portal Document

WTC Visual Survey Form, () Premise Address: • -, gyp c/ \I.PamKa of/Bull ing: Block: ResidentialU Commercial U J Lot: MixUse Other t7

# of Stories: 1O AKA's: Building Own anagement: Telephone Number: ( ) Name: fLQI )J?,"" çQJ\ '>-' rj FAX: Address: On Site Contact Name: `Qt)L Telephone Number: Building Owner Management Activities interior Survey Performed es ❑ No Exterior Survey Performed [Yes ❑ No Geneldl Clean Up J 1es ❑ No Locations: ACM Clean Up Yes.®,No Locations: Air Monitoring Yes ❑ No Locations: Copies of All Reports and Data Re uested Yes

Visual Inspection Results: Facade: Inspected Debris North N/A Yes ❑ No .No Visible/Fine Layer []'% to 1" ❑ > 1" South N/A Yes ❑ No JNo Visible/Fine Layer D% to 1" 0>11 East West Facade Descr " N/A N/A ption: j Yes ❑ No Ujyes ❑ No Mo o Visible/Fine Layer f 1 'A to 1" Visible/Fine Layer ❑Y:to 1" ❑ > 1" ❑ > 1"

Roof

Debris: 0 No Visible/Fine Layer. A c ,g'/ to 1" fl > 1" Description: )f.4t "L; e

Setbacks N/A 0 Floor. Debris: ❑ No Visible/Fine Layer ❑ Y2 to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer ❑'4 to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer ❑ % to 1" 0>1" Floor: Debris: ❑ No Visible/Fine Layer ❑ % to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer ❑ % to 1" ❑ > 1"

Comments

Date:„,/ /2002 Inspection Team: Name: Agency: Name: Agency:

NYC-WTC-000116723