DEP letter requesting environmental assessments, Feb 2002

NYC 9/11 Public Portal Document

WTC Visual Survey Form 1001 z

ro(0 Premise Address: 9 r 0 rte Block: Lot: # of Stories: Residential ❑ `` Commercial Mix Use ❑ Other AKA's: Na a Bu' in Q Ka N Building Owner/Management: Telephone Number: ( ) Name: FAX: ( ) Address: On Site Contact: Name: 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 ❑ Yes

Visual Inspection Results: Facade: Inspected Debris North ❑ N/A El Yes ❑ No ❑ No Visible/Fine Layer ❑'/2 to 1" ❑ > 1" South ❑ N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer ❑'/ to 1" [1> 1" East ❑ N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer [1 1/ 2 to 1" ❑ > 1" West ❑ N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer ❑ % to 1" 0>1" Facade Description:

Roof

Debris: ❑ No Visible /Fine Layer (F %2 to 1" ❑ > 1" Description:

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

Date: 2/1(1 /2002 Inspection by: Name: Agency: Name: Agency:

NYC-WTC-000119442