WTC building inspection form, 385 South End Avenue

NYC 9/11 Public Portal Document

WTC Visual Survey Form Premise Address:

Block: Lc - c Residential 0 Commercial p -

Name of Building: Lot: Mix Use D Other # of Stories: 1 AKA's:. Building O ment i2 Telephone Number. 3-t .... Name: FAX: Address: On Site Contact: Name: ' Telephone Number. Building Owner Management Activities Interior Survey Performed 91!es ❑ No Exterior Survey Performed D'S'es ❑ No General Clean Up 9es ❑ No Locations: ACM Clean Up ❑ Yes ❑ No Locations: Air Monitoring Yes ❑ No Locations: Copies of All Reports and Data Reguestedfl Yes

Visual inspection Results: Facade: Inspected Debris North ❑ N/A ❑ No ❑ No Visible/Fine Layer F]V2 to 1" 0>1" South ❑ N/A [ (es ❑ No ❑ No Visible/Fine Layer 0'/s to 1" 0>1" East ❑ N/A Yes ❑ No ❑ No Visible/Fine Layer ❑'/to1" 0>1" West ❑ N/A DYesDNo ❑ No Visible/Fine Layer DYato1" 0>1" Facade Description:

Roof

Debris: J No Visible /Fine tayer ❑ / to 10.1 ❑ > 1" 1 -~ "'1 Description:

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

Date: ~1 Z-s' /2002 Inspection Team: Name: Agency: Name: -^ Agency:

NYC-WTC-000117624