2 SOUTH END av 1082813, 16/7511

NYC 9/11 Public Portal Document .i - --_ _-.~_...... ,r'= - ~ •~ •arj .i' -- --

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WTC Visual Sue Form Premise Address: 2. J1 Block: Residential CommercialD Name of•BulldInw. Lot j Mix Use 9 OtherIJ -- - a of Stories: - AKA's: Building Owner/Management Telephone Number ( ) Name: FAX:( Address: On Site Contact: . Name: ' •' Telephone Number. Building Owner Management Activities Interior Survey Performed j] Yes j] No Exterior Survey Performed ❑ Yes 0 No General Clean Up Yes No .Locations: • ACM Clean Up Yes No Locations: Air Monitoring - j] Yes 9 No Locations: Copies of All Reports and Data Requested Yes

Visual insaection Results: Facade: Inspected Debris North N/A j3 Yes o No 0 No Visible/Fine Layer 34to l' 0 , 1' South O N/A (J Yes 9 No ❑ No Visible/Fine Layer 1114t1" 0>1' East j] N/A 9YesjJNo ❑ No Visible/Fine Layer % to 1' 0>1' West 0 N/A JjYes9No D No Visible/Fine Layer j] % to 1' 9>1 ' Facade.Decr ption: 0

Roof. .. . Debris: j] No Visible /Fine Layer 034t01' 1' Description•

Setbacks N/A~ Floor___ Debris:13 No Visible/Fine Layer j] 34 to 1' El>1' Floor__ Debris: j] No Visible/Fine Layer 34 to 1' 0>1' Floor. _,_ Debris:DNo Visible/Fine Layer % to 1' 0>1* Floor..___ Debris: j] No Visible/Fine Layer 34 to 1' >1. Floor.____ Debris: j] No Visible/Fine Layer 34 to 1' 9>1'

Comments

Date: I tt.I2OO inspection Team: Name: Agency: R E Name: Agency:

NYC-WTC 000117996