WTC Visual Survey Form
Premise Address:
2- E) 'B'90A—\,UA
Block: Residentialtj Commercial 0 Name of Building:
Lot: Mix Use 0 Other
# of Stories: g AKA's:
Building Owner/Managemen : Telephone Number: (z.sZ )a 6 ~8$ o0
Name: fl Il fl 1wi. iq 14*pc. r FAX:
Address: a1 t ç,re el .'-l. _Y. / o i 2 z.
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 Yes ❑ No No Visible 1ne La er ❑'/:to 1" 0>1"
South ®N/A ❑ Yes ®No ❑ No Visible/Fine yer ❑'h to 1" ❑ > 1"
East N/A ® Yes ❑ No (~ No Visibl me a ❑'/:to 1" 0>1"
West I N/A Yes ❑ No ❑ No Visible/Fine yer ❑ Ya to 1" 0>1"
Facade Description: w~,irws /
an t.,:._ ((/t'S~' trSfib-It 1V° A+t k +~ h iwS~
Roof 3%)sr
Debris: No Visible ine yer ❑'/ to 1 1 =~"' ❑
Description:
Setbacks NIA j
Floor: Debris: ❑ No Visible/Fine Layer ❑'/2 to 1" 0>1"
Floor: Debris: ❑ No Visible/Fine Layer ❑'/a to 1" 0>1"
Floor: Debris: ❑ No Visible/Fine Layer ❑ 34 to 1" ❑>1"
Floor: Debris: ❑ No Visible/Fine Layer ❑'/a to 1" 0>1"
Floor: Debris: ❑ No Visible/Fine Layer ❑'/2 to 1" 0>1"
Comments
//
Date: /_/e._)_/2002 Inspection Team: Name: Agency: ~""4
Name: f I t, s Agency:
RF•te
NYC-WTC 000122369
OCR can misread numbers and units. Confirm readings against the page image before using them.
NYC-WTC_000122369Source: NYC Law Department, mirrored locally
A letter from the Department of Environmental Protection requesting copies of environmental hazard assessments and cleanup summaries for buildings near the World Trade Center site.
A letter from the Department of Environmental Protection requesting copies of environmental hazard assessments and cleanup summaries for buildings near the World Trade Center site.