WTC building assessment form, 70 Battery Place, undated

NYC 9/11 Public Portal Document

T WTC Visual Survey Form Premise Address: , (~ 1 a.a-- Block: Residential 0 Comme cial Name of Building: Lot: Mix Use 0 Other # of Stories: 9 AKA's: Building Owl /Dana em : 1 Telephone Number: P11 Name: FAX: ._._._._._._._._._._._._._._._._._._._._._._._._._._._._._., Address: On Site Contact: Name: - ' Telephone Number: Building Owner Management A,ctivlties Interior Survey Performed Yes ❑ No Exterior Survey Performed es ❑ No - — General Clean Up Yes ❑ No Locations: S '''`' ACM Clean Up EYes ❑ No Locations: Air Monitoring J Xes ❑ No Locations: Copies of All Reports and Data Requested Yes

Visual Inspection Results: Facade: Inspected . De ris North ❑ N/A . Yes ❑ No Visible/Fine Layer ❑'/2 to 1" ❑ > 1" South ❑ N/A BYes ❑ No o Visible/Fine Layer ❑ % to 1" ❑ > 1" East ❑ N/A Yes ❑ No o Visible/Fine Layer ❑ % to 1" ❑ > 1" West ❑ N/A Yes ❑ No No Visible/Fine Layer ❑'/z to 1" O>1" Facade Description: / \ Roof

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

Setbacks NfA) Floor: Debris: ❑ No Visible/Fine Layer ❑'/2 to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer ❑'A to 1" ❑ > 1" 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 % to 1" ❑ > 1" Comments

Date: Inspection Team: Name: Agency: Y' Name: Agency:

NYC-WTC-000119367