NYC 9/11 Public Portal Document
WTC Visual Survey Form
Premise Address:
270 /'S/4vAol~.ri5 ,
Block: Residential D Commercial D Name of Building:
Lot: Mix Use Other
# of Stories: 3 o AKA's: g' Cm.,ec
Building Owner/Management: Telephone Number: (r/( ) f -f'.
Name: 14 L A-7' FAX: (
Address: S`!6 sr ffzw i,4ve. ," /, r -ry
On Site Con t:
Name: #2 46-0 t - /4G. ef I)r. Telephone Number: (Zn. ) rz Y- Iry
Building Owner Management Activities
Interior Survey Performed ( Yes ❑ No
Exterior Survey Performed ® Yes ❑ No QQ
General Clean Up ® Yes ❑ No Locations: !Ci k1F
ACM Clean Up ❑ Yes ® No Locations:
Air Monitoring Yes ❑ No Locations: f sio„
S Copies of All Reports and Data Requested Yes
Visual Inspection Results:
Facade:
Inspected Deb
North NIA Yes No /zto1" ❑>1"
South ❑ N/A J Yes ❑ No D 1/2 t01" 0>1"
East ❑ N/A ® Yes ❑ No Q 1
/ztol" ❑>1
"
West ❑ N/A W_ Yes ❑ No La ❑ /2 to l" ❑ > 1"
Facade Description: (*'e,
Fier..:. zti Ai! 4yafes (we 1-
Roof
Debris: o Visibl /Fine ayer ❑ % to 1" ? ❑ > 1" •i "'~
Description:
no e1fe.~v.
Setbacks N/A ❑
Floor: j4 — Debris: o Vis~ib jne Layer ❑ % to 1" ❑ > 1"
Floor: Debris: ❑ No isible/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 ❑ /2 to 1" ❑ > 1"
Comments
Date: L/ a-t /2002 Inspection Team: Name: Lam. `i Z DA'F f•'c i Agency: T •
Name: Agency:
I
NYC-WTC 000122414
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