WTC Building Inspection Form, 17 Battery Place

NYC 9/11 Public Portal Document

~---` WTC Visual Survey Form premise Address: 2 — W Block: I Residential 0 Commercia Name of Building: Lot: I Mix Use 0 Other # of Stories: I AKA's: Building Owner/Man ement Telephone Number. (2-1 L+Zr S- 3G._.u._._._ Name: S L Address: kt FAX:k ) I I On Site Contact. Name: • - - Telephone Number: Building Owner Management Ac ivities Interior Survey Performed t Yes ❑ No Exterior Survey Performed Yes ❑ No General Clean Up es Na Locations: 1~ w ACM Clean Up ❑ Yes ❑ No Locations: Air Monitoring es ❑ No Locations: Copies of All Re orts and Data Re uested Yes

Visual Inspection Results: Facade: Ins ected brie North ❑ N/A JYesDNo No Visible/Fine Layer '/2 to 1" ❑ > 1" South ❑ N/A E Yes ❑ No No Visible/Fine Layer '/a to 1" [3 >1" East ❑ N/A [3 No No Visible/Fine Layer % to 1" [3 >1" West ❑ N/A 19t ❑ No o Visible/Fine Layer 44 to 1" [3 >1' Facade Description:

Roof

Debris: ❑ No Visible /Fine Layer j3to 1" 0>1' Description:

Setbacks N/A ❑ Floor: Debris: ❑ No Visible/Fine Layer ❑'/a to V ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer ❑ % to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer ❑ Ya to 1" 0>1' Floor: Debris: 0 No Visible/Fine Layer ❑'/a to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer ❑'/a to 1" ❑ > 1"

Comments ,

w, w mac— . p ' , O . ~ /11 / I

Date: 1_I Inspection Team: Name: Agency: Name: Agency:

NYC-WTC 000119248