WTC Building Inspection Form, 17 Battery Place

NYC 9/11 Public Portal Document

WTC Visual Survey Form Premise Address: L C

Block: 1esidential 0 Co mercial LI Name of Building: Lot: Mix Use 0 Other # of Stories: 3— AKA's: Building Owner/Management: Telephone Number: ( ) Name: FAX: Address: On Site Contact: ; ----------------------------------- -.-.-.-.-. Name: Tele hone Number:; P11 Building Owner Management Activi s .-.-.-.-.-.-.-.-.-.-.-.-.-.-.-.-.-.-.-.-.-.-.-.-.-.-.-.-. Interior Survey Performed ❑ Yes o 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 Results: Facade: Inspected Debris North ❑ N/A ❑Yes❑No ❑ No Visible/Fine Layer ❑ Y2 to 1" ❑ > 1" South ❑ N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer ❑ Y2 to 1" O>1" East West ❑ N/A ❑ N/A 2 es ❑ No ❑Yes❑No ❑ No Visible/Fine Layer ❑ No Visible/Fine Layer Y2 to 1" "/% to 1" ❑ > 1" ❑ > 1" Facade Description: ('~--

Roof

Debris: o Visible (Fine Layer ❑'/ to 1" ` ❑ > 1" Descripti

Setbacks N/A ❑ Floor: Debris: ❑ No Visible/Fine Layer ❑ Y2 to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer 0 Y2 to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer ❑ Y2 to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer ❑ Y2 to 1" ❑ > 1" Floor: Debris: [] No Visible/Fine Layer ❑ Va to 1" ❑ > 1"

Comments

Date: / 30 F2QO2 Inspection Team: Name: 1 L Agency: N T E Name: Agency:

NYC-WTC-000119246