WTC facade inspection form, 47 Ann Street, July 2002

NYC 9/11 Public Portal Document

WTC Visual Survey Form Ioo(22 Premise Address:

Block: Residential 0 Commercial D Name of Building: Lot: Mix Use D Other # of Stories: AKA's: Building Owner/Management: Telephone Number. 2JL )70(. •OC Name: Q T 1 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 RequesteJ Yes

Visual inspection Results: Facade: Inspected Debris North ❑ N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer ❑'/ to 1" South ❑ N/A ❑Yes ❑ No ❑ No Visible/Fine Layer ❑ Y2 to 1" East ❑ N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer ❑'/ to 1" West ❑ N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer ❑ % to 1" Facade Description:

Roof

Debris: ❑ No Visible /Fine Layer St %to 1" 0>1" Description:

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

Comments

Date: 4/_0/2002 Inspection by: Name: Name: f. L. Agency: Agency:

NYC-WTC-000119492