WTC visual survey form, 160 South Street, Oct 2001

NYC 9/11 Public Portal Document

WTC Visual Survey Form /001375 Premise Address: F~~ tv

Block: Residential 0 Commercial Name of Building: Lot: Mix Use Other # of Stories: AKA's: VE Building Owner/Management: Teleh& Numbèr ( ) Name: S FAX:( Address: On Site Contact: Name: ' ' Telephone Number. Building Owner Management Activities Interior Survey Performed ❑ Yes ❑ No Exterior Survey Performed ❑ Yes j] No General Clean Up 9 Yes ❑ No Locations: ACM Clean Up D Yes j] No Locations: • Air Monitoring O Yes ❑ No Locations: Copies of All Reports and Data Requested 9 Yes

Visual Inspection Results: Facade: • Inspected Debris North j] N/A ❑ Yes 0 No ❑ No Visible/Fine Layer % to 1" 0>1" • South ❑ N/A ❑ Yes D No 0 No Visible/Fine Layer H%tol' 0>1" ° East ❑ N/A D Yes ❑ No ❑ No Visible/Fine Layer 034 to 1" 9> 1" West ❑ N/A Yes ❑ No ❑ No Visible/Fine Layer L]%to 1" ❑ > 1" Facade Description:

Roof Debris: ttSo Visible /Fine Layer ❑ 14 to V 9>1" Description:

Setbacks N/A Floor. Debris: 0 No Visible/Fine Layer ❑ th to 1" ❑>1' Floor: Debris: j] No Visible/Fine Layer ❑ % to 1" Floor. Debris: ❑ No Visible/Fine Layer h to 1" 0>1' Floor. Floor. 9 Debris: No Visible/Fine Layer g 34 to 1" Debris: No Visible/Fine Layer D4 to 1" D>1' p>1' Comments

Date: 4i 4 012002 Inspection Team: Name: Agency: Name: Agency: _____ N T E R E

NYC-WTC 000116905