WTC facade inspection form, 47 Ann Street, June 2002

NYC 9/11 Public Portal Document

10012.7#2 WTC Visual Survey Form Premise Address: `r

Block: Residential U Commercial Name of Building: Lot: Mix Use E 1 Other ❑ # of Stories: AKA's: Building Owner/Management: Telephone Number: 2J )7O u• OC Name: Q ? t 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 Q No Locations: ACM Clean Up ❑ Yes Q No Locations: Air Monitoring ❑ Yes ❑ No Locations: Copies of All Reports and Data RequestejJ Yes f -

visual inspection Kesults: Facade: Inspected Debris North ❑ N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer ❑V2 to 1" 0>1" South ❑ N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer ❑'/2to1" 0>1" East [] N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer ❑Y2 to 1" 0>1" West ❑ N/A Q Yes ❑ No ❑ No Visible/Fine Layer ❑%2 to 1" 0>1" Facade Description:

Roof

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

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

Comments

Date: ./ Q/2002 Inspection by: Name: C. L. Agency: Name: Agency:

NYC-WTC 000119495