WTC facade inspection form, 7 State Street, 2001

NYC 9/11 Public Portal Document

WTC Visual Survev Form 10000" Premise Address: -^

Block: Residentialjj Residential CommercialLI Name of Building: Lot: 11, MixUseD Other # of Stories: AKA's: Building O nerlM age nt- Telephone Number. ( ) Name: LLC FAX: Address: On Site Contact Name: - `'" Telephone Number Building Owner Management Activities Interior Survey Performed ❑ Yes Q No Exterior Survey Performed ❑ Yes No General Clean Up D Yes No Locations: ACM Clean Up 0 Yes No Locations: Air Monitoring j] Yes j] 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 34 to? >1' South N/A Yes No No Visible/Fine Layer 34 to 1' > 1' East N/A Yes ❑ No No Visible/Fine Layer 34 to 1' > 1' West N/A Yes j] No No Visible/Fine Layer H%tol a > 1' Facade Description: , fl A — -

Roof No Visible /Fine Layer 0:1, 1' Debris: El % to V Description:

Setbacks N/ '' Floor____ Debris: I=J No Visible/Fine Layer % to V >1' Floor.____ Debris: [[~3 No Visible/Fine Layer 34 to 1" > 1" Floor. Debris: No Visible/Fine Layer h to 1' > 1' Floor____ Debris: No Visible/Fine Layer % to 1" > 1' Floor. Debris: No Visible/Fine Layer 34 to V >1' Comments

Date: 4 I Inspection Team: Name: Agency: -~ Name: Agency: E

NYC-WTC 000116791