Block: I Residential p Comore 1 Name of Building:
Lot: Mix UseD OtherlJ
# of Stories: 1 AKA's:
Building wn r/Ma g ent; Telephone Number. ( )
Name: ( FAX:
Address:
On Site Contact
Name: ' ' "• Telephone Number.
Building Owner Management Activities
Interior Survey Performed DYes J No
Exterior Survey Performed DYes 9 No
General Clean Up 9 Yes 9 No Locations:
ACM Clean Up 9 Yes 9 No Locations:
Air Monitoring 9 Yes 9 No Locations:
Copies of All Reports and Data Requested j Yes
Visual Inspection Results:
Facade:
Inspected Debris
North N/A Yes No No Visible/Fine "to 1' >1
South N/A Yes No No Visible/Fine Layer 34 to 1' > 1'
East N/A Yes No No Visible/Fine Layer % to 1' >1'
West N/A Yes No No Visible/Fine Layer
LayerH%toll > 1'
Facade Description: ( - 0
Roof
Debris: No Visible /Fine Layer El 3* to V 9>1 .
Description:
Setbacks N/A~
Floor.___ Debris: No Visible/Fine Layer 36 to 1 >1'
Floor:____ Debris: No Visible/Fine Layer % to 1' >1'
Floor. Debris: No Visible/Fine Layer 34 to 1' > 1'
Floor. Debris: No Visible/Fine Layer 36 to 1' > 1'
Floor:___ Debris: No Visible/Fine Layer 36 to1' > 1'
Comments
Date: -/ /2002 Inspection Team: Name: Agency:
N E Name: Agency:
T R E 1)
NYC-WTC-000117022
OCR can misread numbers and units. Confirm readings against the page image before using them.
NYC-WTC_000117022Source: NYC Law Department, mirrored locally