WTC Visual Survey Form 100106 3? ?
Premise Address:
16 r tSrowo/6v~
Block: 2.. Residential 0 Commercial E J aif1e of Building:
Lot Dl MixUseD Other ; ip.or t P1 1.,
# of Stories: S AKA's:
Building Owner/Management: Tetephon - 774
Name: vll Ar ft +~' 4 P.b .•.1 FAX:
Address: 5,4$ne
On Site Contact
Name: ' S tt vr,siA 1* - l ld Telephone Number. Z, L.) yfl -7''I
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: Aw~A_r t
Air Monitoring fo Yes ❑ No Locations:
Copies of All.Reports and Data Requested f J Yes
Visual Inspection Results:
Inspected Debris
North ❑ N/A Yes Q No Q No Visible/Fine Layer ❑ % to 1" ❑ > 1"
South ❑ N/A Yes ❑ No ® No Visible/Fine Layer ❑ % to 1" ❑ > 1"
East ❑ N/A ® Yes ❑ No ® No Visible/Fine Layer ❑ Y2 to 1" ❑ > 1"
West ❑ N/A Yes ❑ No [4 No Visible/Fine Layer ❑ Ya to l" 0>1"
Facade Description:
Roof Est~
Debris: ® No Visible /Fine layer ❑ Va to 1, 4 -4--A ❑ > 1" 1
Description:
Setbacks N/A
Floor Debris: ❑ No Visible/Fine Layer ❑ 34 to 1' [] > 1"
Floor Debris: ❑ No Visible/Fine Layer ❑ % to 1" ❑ > 1"
Floor. Debris: ❑ No Visible/Fine Layer ❑ a to 1" ❑ > 1"
Floor Debris: ❑ No Visible/Fine Layer ❑ % to V ❑ > 1"
Floor. Debris: ❑ No Visible/Fine Layer ❑ % to 1" ❑ > 1"
~AM MAAis
Date: I L1S /2002 Inspection Team: Name: . P'fL 4MccU Agency: t9S 104•
Name: 0 !4e II b Agency: 1VQC
NYC-WTC 000124226
OCR can misread numbers and units. Confirm readings against the page image before using them.
NYC-WTC_000124226Source: 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.