Illegible building inspection form for 40 Rector Street

NYC 9/11 Public Portal Document

WTC Visual Survey Form Premise Address: ~7 QLtkoL Block: R sidential D Commercial 9 Name of Building: Lot: Mix UseD Other # of Stories: AKA's: Building r/Mana enye t: Telephone Number. ( ) Name: o -t t 4 -D L e V FAX: Address: On Site Contact* Name: " * Telephone Number: Building Owner Management A tivities Interior Survey Performed es ❑ No Exterior Survey Performed es Q No General Clean Up r fes No Locations: ACM Clean Up Yes [] No Locations: Air Monitoring J .Yes Q No Locations: Copies of All Reports and Data Reguested Ys J Visual Inspection Results: Facade: in pected O bris North 0 N/A es Q No No Visible/Fine Layer ❑36to 1" ❑> 1" South ❑ N/A IB'Yes [j No No Visible/Fine Layer Q/to1" >1" East ❑ N/A es Q No _No Visible/Fine Layer 34to1" >I" West 0 N/A [ yes Q No I No Visible/Fine Layer 0%to1" 0>1" Facade Description:

Roof Debris: r No Visible /Fine Layer 934 to 1" 0> 1" Description:

Setbacks N/A 0 Floor. Debris: Q No Visible/Fine Layer ❑ % to 1" 0> 1" Floor. Debris: No Visible/Fine Layer ❑ h to 1" 9> 1" Floor. Debris: H No Visible/Fine Layer 034 to 1" ❑ > 1" Floor. Debris: ❑ No Visible/Fine Layer ❑'% to 1" Q > 1" Floor. Debris: Q No Visible/Fine Layer Q h to 1" Q > 1"

Comments

Date: I "6002 Inspection Team: Name: Agency: Name: Agency:

NYC-WTC-000117301