WTC Facade Inspection Form, 19 Rector Street

NYC 9/11 Public Portal Document

WTC Visual Survey Form I Premise Address: ~ 1' Block: Rdsidenti8 Co mercial 0 I Name of Building: Lot: Mix Use D Other # of Stories: 3 AKA's: .a e r Building Owner/M nagement: Telephone Number. (2 t a) 4'c -Tt t Z Name: ~ -i.&v ' FAX: Address: On Site Contact: Name: ' - Telephone Number: Building Owner Management Actb,fties Interior Survey Performed , Yes ❑ No Exterior Survey Performed 'es ❑ No General Clean Up ❑ Yes U No Locations: ACM Clean Up DYesJ4io Locations: Air Monitoring es No Locations: Copies of All Reports and Data Reguesteçl J Yes Visual Inspection Results: Facade: r pected De ris North QNIA s ❑ No ,EjNo Visible/Fine Layer ❑ % to 1" ❑ > 1" South '` N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer ❑ % to 1" 0>1" East ❑ N/A 2Yes ❑ No ZRlo Visible/Fine Layer ❑ % to 1" ❑ > 1" West ' ..N/A ❑ Yes ❑ No -❑ No Visible/Fine Layer ❑ Va to 1" ❑ > 1" Facade Description:

Roof Debris: INo Visible /Fi Layer ❑ % to 1" ❑ > 1" Description:

Setbacks N/A ❑ Floor. Debris: ❑ No Visible/Fine Layer ❑ V to 1" ❑ > 1" Floor. Debris: ❑ No Visible/Fine Layer ❑ % to 1" ❑ > 1" Floor: Debris: No Visible/Fine Layer ❑ h to 1" ❑ > 1" Floor. Debris: D No Visible/Fine Layer ❑ Y to 1" ❑ > 1" Floor. Debris: 0 No Visible/Fine Layer ❑ Va to 1" ❑ > 1" Comments

Date: /_I_/2002 Inspection Team: Name: 1I ~ ow ('D' —. AgencY~ 4 Name: Agency:

NYC-WTC-000117270