WTC document reference, 19 Rector Street

NYC 9/11 Public Portal Document

WTC Visual Survey Form Premise Address: H '9 ?, 9? 9E E-Ni c Block: I Residential J Commercial U Name of Building: Lot: Mix Us Other # of Stories: AKA's: Building Owner/Ma riage~ept r~ Telephone Number: (31 . ) tja s' p, L~ Name: A'- fA% c , *, t \ ( Fo Address: On Site Conta Name: ~ S W Le 4L t- Telephone Number: %%-L- "i `1*1 - t z 13 Building Owner Management Activities Interior Survey Performed ❑ Yes No 11 2 Exterior Survey Performed ❑ Yes g No ~'Q O\ General Clean Up ❑ Yes ❑ No Locations: Y '&u-0 ~ ACM Clean Up ❑ Yes ❑ No Locations: D 2. Air Monitoring ❑ Yes ❑ 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 ❑ Y2 to 1' ❑ > 1' South ❑ N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer ❑ 2 to 1' 0>1' East ❑ NIA ❑ Yes ❑ No ❑ No Visible/Fine Layer ❑ %s to 1' ❑ > 1' West ❑ N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer ❑ h to 1" [J1' Facade Description:

Roof Debris: [] No Visible /Fine Layer to1''' , 0>1" Description:

Setbacks N/A ❑ Floor.2' Debris: 0 No Visible/Fine to 1' ❑ > 1' Floor =~ Debris: No Layer Visible/Fine Layerlea to 1" > 1' Floor____ Debris: No Visible/Fine Layer % to? > 1" Floor____ Debris: No Visible/Fine Layer A to 1" > 1" Floor Debris: ❑ No Visible/Fine Layer ❑ % to? 0> 1" Comments 9 7671 oats i kp ages► y Post-It' Fax Note From

CoJDept. Co. ' P Phone# __ 72 Phone # 718 s95 Fax # Fax # 212-2. iSS — g 2 6 /2002 N-i` L+ Date: = Inspection Team: Name: -' ._Agency: ) Name: C Agency: -- C N T E R E3

NYC-WTC-000117243