FAX transmission cover sheet, 70 Battery Place, undated

NYC 9/11 Public Portal Document

WTC Visual Survey Form Premise Address: U6c ,mow J — 7t Block: Residential D Cdi4imercial D Name Building: Lot: Mix Use ❑ Other 0 d - - 1 L # of Stories: AKA's: Building Owner/Management: Telephone Number: ( ) Name: FAX: Address: On Site Contact: Name: lj " N~ 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 j Yes

Visual Inspection Results: Facade: Inspected Debris North ❑ N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer [-]'/ to 1" 1- 0>1" South ❑ N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer El'/ to 1" 0>1" East ❑ N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer El% to 1" 0>1" West ❑ N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer ❑fto1" 0>1" Facade Description:

Roof ) 4_

Debris: ❑ No Visible /Fine Layer ❑ Y2 to 1 " 0 >1"

Description:

Setbacks N/A] Floor: 77~~ Debris: ❑ No Visible/Fine Layer ❑ % to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer ❑ % to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer ❑ 1/ to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer ❑'/ to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer ❑ Ya to 1" ❑ > 1"

~ ll i i11i17- bL14

Date: 17 /2002 Inspection Team: Name: ( / 1Z — Agency: Vt Name: Agency:

NYC-WTC-000119365