WTC visual survey form, Folder 32, Oct 2001

NYC 9/11 Public Portal Document WTC Visual Survey Form Premise Address: dock esider P1Cor rcia J j Name of Building: Lot Mix Use9 Other S of Stories: 2. AKA's: Building Owner/Management Telephone Number. ( ) Name: is c FAX Address: On Site Contact: Name: ' ' Telephone Number. Building Owner Management Activities Interior Survey Performed ❑ Yes n No Exterior Survey Performed Q Yes j] 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 DYes

visual insvection Kesuns: Facade: Inspected - Debris North fl N/A Yes No No Visible/Fine Layer " to 1' >1' South jj N/A Yes No No Visible/Fine Layer 34 to 1' "1. East JJ N/A Yes No No Visible/Fine Layer 14 to 1' > 1' West J N/A Yes No ~ No Visible/Fine Layer % to 1' > 1' Facade Des ption:

Roof Debris: E] No Visible /Fine Layer =] % to 1' Description:

Setbacks N/A M Floor__' Debris: No Visible/Fine Layer 34 to 1' > 1' Floor:____ Debris: No Visible/Fine Layer 1 to 1' > 1' Floor.__ Debris: No Visible/Fine Layer 1 to 1' > 1' Floor. Debris: No Visible/Fine Layer 1 to1' > 1' Floor. Debris: - No Visible/Fine Layer 34 to V >V Comments

Date: 4- /2.7 12D02 Inspection Team: Name: p. he R. 11 gency DEP Name: Agency: NTERED,

NYC-WTC-000117128