WTC Building Inspection Form, 17 Battery Place

NYC 9/11 Public Portal Document

WTC Visual Survey Form Premise Address: ~~ Block: Residentit Commercial Name of Building: Lot: Mix Use J J Other # of Stories: AKA's: -1 a- , Building wner/ anaggment: Telephone Number: ( 1~ 7e 2- o I c Name: Address: P~ WI w ~~ ~a 2t c>

On Site Contact: Name: ' f..- c,~-•- — Telephone Number: Building Owner Managem nt tivities Interior Survey Performed Yes ❑ No Exterior Survey Performed Yes ❑ No General Clean Up-QYes ❑ No Locations: ACM Clean Up ❑ Yes1 Locations: Air Monitoring Jes No Locations: Copies of All Reports and Data Requested es

Visual Inspection Results: Facade: In pected Debris North ❑ N/A E2jYesDNo ❑ No Visible/Fine Layer 0 Y2 to 1" 0>1" South ❑ N/A Yes ❑ No ❑ No Visible/Fine Layer Q % to 1" ❑ > 1" East ❑ N/A Yes ❑ No ❑ No Visible/Fine Layer j J % to 1" ❑ > 1" West ❑ N/A Yes ❑ No ❑ No Visible/Fine Layer 044 to 1" ❑ > 1" Facade Description: c

Roof

Debris: Visible /Fine Layer ❑'/to1" 0>1" Description: a

Setbacks N/A ❑ Floor: Debris: ❑ No Visible/Fine Layer ❑'/ to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer ❑'/ to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer 0'/2 to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer ❑'/ to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer ❑'/2 to 1" ❑ > 1"

Comments ~N L/

4

Date: Inspection Team: Name: Agency: J1 '- Name: Agency:

NYC-WTC-000119251