NYC 9/11 Public Portal Document
'7
WTC Visual Survey Form
Premise Address:
9 C/I ,hY SttreeE
Block: Residential Commercial l Name of Building:
Lot: Mix Use Other
# of Stories: AKA's:
Building Owner/Management: /2o PQ.,'k Telephone Number: (7/3 )~'1 y-Sa17
Name: /T' :D; fc (c me FAX:
Address:
On Site Contact:
Name: ka+•r r-& j Q bi i¢.a..f- Telephone Number: (212 ) 2Z7.-3144
Building Owner Management Activities
Interior Survey Performed ❑ Yes ❑ No
Exterior Survey Performed ❑ Yes ❑ No
General Clean Up ® Yes ❑ No Locations: TH E j`vrwr ^ et
ACM Clean Up ❑ Yes ❑ No Locations:
Air Monitoring ❑ Yes ❑ No Locations:
Copies of Al! Reports and Data Requested DYes
visuai inspection Kesults:
Facade:
Inspected Debris
North Q N/A e"Yes ❑ No [Z No Visible/Fine Layer ❑ Yz to 1" 0>1"
South ❑ N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer ❑'/z to 1" ❑ > 1"
East ❑ N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer ❑ % to 1" 0>1"
West ❑ N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer ❑ % to 1" ❑ > 1"
Facade Description:
Roof
Debris: /Fine Layer ®'/z to 1" 0>1"
Description: P'7 -t ( Like 'bijews o`se,-v-'! n ^' 2 ,'^ 6:.~*Earf of y l
Setbacks N/A s
Floor: Debris: ❑ No Visible/Fine Layer ❑'/ 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 ❑ % to 1" ❑ > 1"
Floor: Debris: ❑ No Visible/Fine Layer ❑'/z to 1" ❑ > 1"
Comments
C eMcx c, crr a 'r Fes✓ {a o v1 fa is? 6 '-+~'
_- # -r, C
Date: 01, 24 /2002 Inspection Team: Name: R. Fit ri - Agency: U. PA
Name: 4iv "'cIIp-.✓ Agency: /C3ffP.
NYC-WTC 000122152
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