WTC Building Inspection Form, 17 Battery Place

NYC 9/11 Public Portal Document

WTC Visual Survey Form Premise Address: \ 1 Block: Resident1 1 " Commercial Name of Building: Lot: Mix Use Other # of Stories: AKA's: Building Own r/Manage ent: Telephone Number: ( 2 1 1) c f z~ - Name: ,nra„ L L C__ FAX: &.v, . Address: On Site Conta - Name: • !-)Z--k— `^ ` "` e Telephone Number: Building Owner Manageme t ctiv 'as Interior Survey Performed es D No Exterior Survey Performed EYes ❑ No General Clean Up ❑ Yes No Locations: ACM Clean Up ❑ Yes No Locations: Air Monitoring sLJNo Locations: Copies of All Reports and Data Re ueste Yes

Visual Inspection Results: Facade: pected Epbris North ❑ N/A es ❑ No No Visible/Fine Layer Y2 to 1" 0>1" South ❑ N/A es ❑ No o Visible/Fine Layer Y2 to 1" ❑ > 1" East ❑ N/A Yes ❑ No o Visible/Fine Layer %2 to 1" ❑ > 1" West ❑ N/A Yes ❑ No o Visible/Fine Layer % to 1" 0>1" Facade Description:

Roof

Debris: ❑ No Visible /Fine Layer jji2to 1" ❑ > 1" Description:

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 ❑'A to 1" ❑ > 1" Floor: Debris: ❑ No Visible/FWieLayer ❑ % to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine r ❑'A to 1" ❑ > 1"

Comments S o C1 mow--

Date: / !2002 Inspection Team: Name: Agen Name: Agency:

NYC-WTC-000119255