DEP assessment report, Trinity Church properties

NYC 9/11 Public Portal Document

WTC Visual Survey Form Premise Address: J 9, "~ _ i c (- ('(c:; - 4t Block: Residential 0 Commercial 'k Name of Building: Lot: Mix Use 0 Other 19 # of Stories: AKA's: Building Owner/Management: Jp ~j Telephone Number: ( ) Name: FAX: Address: a`. 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 19 Yes

Visual Inspection Results: Facade: Inspected Debris North ( N/A ;r ❑ Yes ❑ No ❑ No Visible/Fine Layer ❑ Y2 to 1" ❑ > 1" South -a-N/A •; ❑ Yes ❑ No ❑ No Visible/Fine Layer ❑ %2 to 1" ❑ > I" East G/A 'Yes ❑ No No Visible/Fine Layer ❑ Y to 1" ❑ > 1" West 19 N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer ❑ V2 to 1" ❑ > I" Facade Description:

Roof

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

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

Comments ('ter fl k -2 Date: I / /2002 Inspection Team: Name: ' ' Agency: Name: Agency:

NYC-WTC 000116778