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 J Other # of Stories: 3 1AKA's: .5 (e c_/-6,— 5 Building Owner/M nagement Telephone Number'! P11 Name: ~~' FAX: `._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._ Address: On Site Contact: Name: ' - ( `^^ Telephone Number: Building Owner Management Activfties Interior Survey Performed , Yes ❑ No Exterior Survey Performed_ ' es ❑ No General Clean Up ❑ Yes U No Locations: ACM Clean Up DyesJ4Jo Locations: Air Monitoring es No Locations: `~ Copies of All Reports and Data Reguesteçl J Yes

Visual Inspection Results: Facade: n pected ,Oe4ris North N/A EfYesDNo No Visible/Fine Layer ❑ % to 1" South '` N/A ❑ Yes ❑ No 0 No Visible/Fine Layer ❑ % to 1" East ❑ NIA Yes ❑ No No Visible/Fine Layer ❑ % to 1" West SN/A ❑ Yes ❑ No Fl No Visible/Fine Layer ❑ % to 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 ❑ Va to 1" ❑ > 1" Floor: Debris: No Visible/Fine Layer 0 a to 1" ❑ > 1" Floor. Debris: No Visible/Fine Layer ❑ Y to 1" ❑ > 1" Floor. Debris: ❑ No Visible/Fine Layer ❑ % to 1" ❑ > 1" Comments

Date: // yb 12002 Inspection Team: Name: (I$? /k i c (— p " PD, vw Agency: V Name: Agency:

NYC-WTC—000117270