Visual inspection form, 96 Trinity Place, Oct 2001

NYC 9/11 Public Portal Document

VVTC Visual Survey Form Premise Address: oo Block: Residential El Co mercjal El Name of Building: Lot: Mix Use Othe -~' \ £'cam- ` t wb--. # of Stories: AKA's: Building Owner/Management: Telephone Nu ber: ( ) Name: FAX: ( ) Address: On Site Contact: p ` 1 Name: o ow~w x,~ C ~-i4fTe1ephone Number: ( ) Building Owner ities Interior Survey Performed Jes ❑ No Exterior Survey Performed ManagemeWes , ❑ No General Clean Up E Yes ❑ No Locations: ACM Clean es ❑ No Locations: Air Monitoring UpXesFINo locations: Copies of All Reports and Data Re ueste es

Visual Inspection Results: Facade: Inspected Debris North ❑ N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer ❑'/ to 1" ❑ > 1" South ❑ N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer ❑ 1/ to 1" ❑ > 1" East ❑ N/A es ❑ No ib Visible/Fine Layer ❑'/2 to 1" ❑ > 1" - West ❑ N/A 1 Yes ❑ No isible/Fine Layer ❑'/2 to 1" ❑ > 1" Facade Description:

Roof

Debris: J3No Visible /Fine Layer ❑ % to 1" ❑ > 1" Description:

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

Comments

Date: 2 /7- 6 /2002 Inspection by: Name: Agency: Name: Agency:

NYC-WTC 000116726