WTC building inspection form, 385 South End Avenue

NYC 9/11 Public Portal Document

L/ WTC Visual Survey Form Premise Address:

Block: Residential Commercial Name of Building: Lot: Mix Use Other # of Stories: AKA's: Building OwierIManagemepft Telephone Number: ( ) Name: L -' 't-+A-1 FAX: Address: On Site Contact• rr Name: Telephone Number. (2J2) ZI ~2z Building Owner Management Activities Interior Survey Performed Eyes ❑ No Exterior Survey Performed QYes ❑ No General Clean Up ["Yes ❑ No Locations: ACM Clean Up ❑ Yes © No Locations: Air Monitoring Q Yes ❑ No Locations: Copies of All Reports and Data Requested c Yes

Visual Inspection Results: Facade: Inspected Debris North ❑ N/A E Yes ❑ No of No Visible/Fine Layer D'/2 to 1" Q > 1" South Q N/A [3 Yes ❑ No 134o Visible/Fine Layer D'/: to 1" ❑ > 1" East Q N/A D Yes ❑ No No Visible/Fine Layer [) %: to 1" ❑ > 1" West ❑ N/A [Yes ❑ No Q No Visible/Fine Layer D V to 1" Q > 1" Facade Description:

Roof pt. Debris: ZINo Visible /Fine ayer ❑ V to 1" 1 ❑ > 1" 1 •i ""'~ Description:

Setbacks N/A El Floor. Debris: Q No Visible/Fine Layer ❑ % to 1" ❑ > 1" Floor Debris: Q No Visible/Fine Layer ❑ % to 1" ❑ > 1" Floor Debris: ❑ No Visible/Fine Layer ❑ Va to? ❑ > 1" Floor Debris: ❑ No Visible/Fine Layer ❑ h to? ❑ > 1" Floor. Debris: Q No Visible/Fine Layer ❑ % to? ❑ > 1" Comments

Date: ( / _/2002 Inspection Team: Name: -'. _ Agency: Name: Agency: .

NYC-WTC-000117626