WTC Facade Inspection Form, South Street

NYC 9/11 Public Portal Document

WTC Visual Survey Form rem cress: Block: Re idential 0 CommercialD Name of Building: Lot: Mix UseD OtherEJ # of Stories: AKA's: Building OwnerlManagemen t Telephone Number. ( ) Name: 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 Locations: ACM Clean Up ❑ Yes No Locations: Air Monitoring ❑YesDNo Locations: Copies of All Reports and Data Requested Yes

Visual Inspection Resuits: Facade: Inspected Debris North 9 N/A 9 Yes No ❑ No Visible/Fine Layer [] % to? 9)? South N/A 1es No No Visible/Fine Layer % to? 1" East ❑ N/A Yes No ❑ No Visible/Fine Layer 14 to 1" > 1" West [j N/A Yes No [] No Visible/Fine Layer h to 1" > 1" Facade Description:

Roof Debris: o Visible /Fine Layer 936 to 1" 9>? Description:

Setbacks N/A Floor. Debris: No Visible/Fine Layer 4 to V >V Floor____ Debris: No Visible/Fine Layer. 14 to? > 1" 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 14 to 1" > 1"

Comments

Date: 1,,12002 Inspection Team: Name: Agency: Name: Agency: ENTERED NYC-WTC-000117190