WTC facade inspection form, 15 Stone Street, 2001

NYC 9/11 Public Portal Document

WTC Visual Survey Form Premise Address: M c S Residential -~ CommercP Name of Building: Block: Lot: Mix Use 0 Other # of Stories: S AKA's: Building Owner/Management: Telephone Number: ( ) Name: FAX: Address: On Site Contact: Name: • ~~ Telephone Number: Building Owner Management Ac sties 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 j J Yes

Visual Inspection Results: Facade: s acted DJebris North ❑N/A s❑No o Visible/Fine Layer ❑ % to 1" 0>1 " South ❑ N/A Yes ❑ No [3No Visible/Fine Layer ❑Yato1" 0>1" East ❑N/A ❑Yes❑No ❑ No Visible/Fine Layer ❑vato1" 0>1" West ❑ N/A -es ❑ No 2 No Visible/Fine Layer ❑%to 1" 0>1" Facade Description:

Roof " Debris: Visible /Fine Layer 0 % to 1" " ❑ > 1" Description

Setbacks N/A ❑ Floor. Debris: ❑ No Visible/Fine Layer ❑ 34 to 1" ❑ > 1" 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 ❑ to 1" ❑ > 1"

Comments

Date: 7 l-3 12002 Inspection Team: Name: Name: Agency: Agency: h' .. S;

f

NYC-WTC-000116818