DEP memo on WTC building assessment guidance, February 2002

NYC 9/11 Public Portal Document

WTC Visual Survey Form B I 1' I O7Q 0 7c Premise Address: e

Block: 90 5 Bee~mc--A-n Residential S+ r•e D Commercial D Name of Building: Lot: 1t4 Mix UseD Other # of Stories: AKA's: Building Owner/Management: Telephone Number ( ) l Name: FAX: ) Address: On Site Contact: Name: Telephone Number: Building Owner Management Activities Interior Survey Performed ❑ Yes ❑ No Exterior Survey Performed ❑ Yes ❑ No General Clean Up ❑ Yes ❑ No Locations: ACM Clean Up ❑ Yes ❑ No Locations: Air Monitoring ❑ Yes ❑ No Locations: Copies of All Reports and Data Requested Yes visual inspection Kesurts: Facade: Inspected Debris North ❑ NIA ❑ Yes ❑ No ❑ No Visible/Fine Layer ❑Y2to 1" i1>1 " South ❑ N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer ❑ ~2to 1 " > 1" East ❑ N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer ❑ / to 1" > 1" West ❑ N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer [j'/ to l" > 1" Facade Description:

Roof

Debris: ❑ No Visible /Fine Layer ❑ % to 1" 1" Description:

Setbacks N/A ❑ Floor: Debris: ❑ No Visible/Fine Layer 034 to 1" fl > 1" Floor: Debris: ❑ No Visible/Fine Layer ❑ % to 1" > 1" Floor. Debris: ❑ No Visible/Fine Layer ❑ Y2 to 1" fl > 1" Floor: Debris: ❑ No Visible/Fine Layer ❑ % to 1" fJ> 1" Floor: Debris: ❑ No Visible/Fine Layer ❑ % to 1" J> 1" Comments

Date: /(_/2002 Inspection by: Name: _ l\ LL Agency: DE P Name: Agency:

NYC-WTC-000119098