WTC visual survey form, Folder 33, Oct 2001

NYC 9111 Public Portal Document WTC Visuaf Survey Form Premise Address: r r .7 block: iResiden PCoT rcla j Name of Building: Lot: Mix Use D Otherlj # of Stories: AKA's: Building Owner/Management Telephone Number. ( ) Name: k c FAX: Address: On Site Contact Name: " " Telephone Number Building Owner Management Activities Interior Survey Performed Yes No Exterior Survey Performed Yes No General Clean Up Yes No vocations: ACM Clean Up Yes No Locations: Air Monitoring D Yes 0 No Locations: Copies of All Reports and Data Requested Yes

Visual Inspection Results: Facade: Inspected Debris North ❑ N/A Yes No No Visible/Fine Layer 34 to 1' > 1' South D N/A Yes No No Visible/Fine Layer % to 1' > 1' East N/A Yes No No Visible/Fine Layer 34 to 1' > 1' West 1 N/A Yes No No Visible/Fine Layer %to 1' > 1' Facade Des ption:

Roof Debris: _}No Visible /Fine Layer 034t01 r] > 1' Description: NO _G~S~

Setbacks N/A)EJ Floor___ Debris: No Visible/Fine Layer 34 to 1' > 1' Floor____ Debris: No Visible/Fine Layer 34 to 1' > 1' Floor Debris: No Visible/Fine Layer 34 to 1' > 1' Floor.____ Debris: No Visible/Fine Layer % to1' >1' Floor.__ Debris: - No Visible/Fine Layer % to? > 1' Comments

Date: „ /27,12002 Inspection Team: Name: J I) R. OleP11eAoency:CEF Name: Agency:

NYC-WTC 000117132