NYC 9/11 Public Portal Document
io:Z000 7 1 //
WTC Visual Survey FQrrr
Pernise Address: I
-i
Block: Residential 0 Commercial1 N me of Bul ing:
Lot: Mix UseIJ Other
# of Stories: AKA's: 1 1-:b st- i - 1 r 5-r q r o L$ fi.
Building Owner/Management ~, Telephone Number ( l -~p'l
Name: $fit ~-wt.~ t -'t FAX:
Address:
On Site Contact
Name: ' Telephone Number
Building Owner Management Activities
interior Survey Performed j] Yes Q No
Exterior Survey Performed YesL]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 Yes
Visual Inspection Results:
Inspected Debris
North N/A Yes No No Visible/Fine Layer 3410 1" > 1"
South N/A Yes No No Visible/Fine Layer Va to 1" > 1"
East N/A Yes No No Visible/Fine Layer 14 to 1" > 1"
West N/A Yes No No Visible/Fine Layer H31010
34 to 1"
Facade Description:
Roof
Debris: o Visible /Fine Layer 0 34 to 1" 10:0, 1"
Description:
Setbacks N/A j~
Floor.___ Debris: Q No Visible/Fine Layer % to 1" > 1"
Floor___ Debris: j] No Visible/Fine Layer 1 to V > 1"
Floor Debris: No Visible/Fine Layer 3410 1" >1'
Floor.____ . Debris: No Visible/Fine Layer 4 to V "1.
Floor Debris: No Visible/Fine Layer % to 1" > 1"
Comments