NYC 9/11 Public Portal Document
WTC Visual Survey Form
1001071
Premise Address:
183 Lro4I
Block: Residential D Commercial D Name of Bull ng:
Lot: Mix Use Other 0 /13 13A,,tf'&rn
# of Stories: y AKA's:
Building OwnerIM nagement: Telephone Number: P11
Name: " C' $4/ ti dw,ver FAX:
Address:
On Site Contact:
Name: - uel C 4 .A S Telephone Number: (zez) 71/ /to Z
Building Owner Management Activities
Interior Survey Performed ❑ Yes ❑ No?
Exterior Survey Performed ❑ Yes ❑ No •
General Clean Up (J Yes ❑ No Locations: Rlc{'t , cl A l< R,,,,g (m *vl f
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/Fine Layer ❑ Va to 1" 0>1"
South ®N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer ❑ Ya to 1" 0>1"
East ®N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer ❑ % to 1" 0>1"
West ❑ N/A 1j Yes ❑ No (~ No Visible/Fine Layer ❑ Ya to 1" 0>1"
Facade Description:
Lt 'tCk 4i
411 ArtAS
IekrI'S
Roof Est; S .I,~,jr (c6r
Debris: ® No Visible ine a ❑'a to 1" .1 - ❑ > 1" /
Description: S,►...a R, ,..,ts a 1 o•••
Setbacks N/A
Floor. Debris: ❑ No Visible/Fine Layer ❑ Va to 1" ❑ > 1"
Floor. Debris: ❑ No Visible/Fine Layer ❑'/Z to 1" ❑ > 1"
Floor: Debris: ❑ No Visible/Fine Layer ❑ % to 1" ❑ > 1"
Floor: Debris: ❑ No Visible/Fine Layer ❑ V to 1" ❑ > 1"
Floor Debris: ❑ No Visible/Fine Layer ❑ Va to 1" ❑ > 1"
Comments
redF f0 AA4# •+:t d--rQo*9
Date: I I a ( /2002 Inspection Team: Name: 1e. Fl AIINClt Agency: T IF
Name: g. oIe(lo Agency: NYC AEA
NYC-WTC 000123010
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