WTC compliance form, 1 Liberty Plaza, 2002

NYC 9/11 Public Portal Document

g1N. 100106 WTC Visual Survey Form Premise Address: 16 r t'S~o.~olrv.o-t Block: Residential 0 Commercial E Name of Building: Lot: 5O f Mix Use Other .( >= A 141-A # of Stories: AKA's: Building Owner/Management: Telephone Number: (Li ti,) ?7- 714 Name: u(4 t ta! rat FAX: Address: SAirt On Site Contact: Name: • - S 3.eu rrti lrt -P (dc Telephone Number: (2,'._) y r . s; 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:____________________________________ t Air Monitoring Yes ❑ No Locations: Copies of All;Reports and Data Requested J J Yes

Visual inspection Results: Facade: Inspected Debris North ❑ N/A ® Yes ❑ No Q No Visible/Fine Layer ❑%tol" 0>1" South ❑ N/A (z Yes ❑ No ® No Visible/Fine Layer ❑Y2to1" 0>1" East ❑ N/A ® Yes ❑ No No Visible/Fine Layer ❑Y2to1" 0>1" West ❑ N/A R Yes ❑ No [J No Visible/Fine Layer ❑ 2 to 1" 0>1" Facade Description: tCv 4t

Roof

Debris: ® No Visible /Fine yer ❑ Y2 to 1" .4 — 0>1" Description:

Setbacks N/A Floor: A Debris: ❑ No Visible/Fine Layer ❑ % to 1" ❑ > 1" Floor Debris: ❑ No Visible/Fine Layer ❑Y2 to 1" ❑ > 1" Floor. Debris: ❑ No ViSible/Fine Layer ❑ Va to 1" ❑ > 1" Floor. Debris: ❑ No Visible/Fine Layer ❑'/2 to 1" ❑ > 1" Floor. Debris: ❑ No Visible/Fine Layer ❑ %a to 1" ❑ > 1"

Date: /_/2 5 /2002 Inspection Team: Name: 9, ft ftae4'1ctt Agency: t9 i °t4. Name: - O !(e (It Agency: C J

NYC-WTC 000124227