NYC 9/11 Public Portal Document
WTC Visual Survey Form.
Foc esdenti Comma me B i di
Mix Use Other ~'"
# of Stories: AKA's:
Building Owne tManagement Telephone Number. ( )
Name: FAX:(
Address:
On Site Contact
Name: ' ' Telephone Number.
Building Owner Management Activities
Interior Survey Performed Yes No
Exterior Survey Performed Yes 8 No
General Clean Up Yes No :
ACM Clean Up Yes No Locations:
Air Monitoring Yes No Locations:
Copies of All Reports and Data Requested [ Yes
Visual Inspection Results:
Facaae:
Inspected Debris
North NIA Yes No No Visible/Fine % to1' >1'
South N/A Yes No No Visible/Fine Layer 4 to 1 > 1'
East N/A Yes No No Visible/Fine Layer % to 1' > 1' -
West N/A Yes No No Visible/Fine Layer
LayerH%tole NS-10
Facade Description:
Roof
I Debris: 1 Yzslble /Fine D'4to1'. fl ay
Setbacks WA13
Floor.___ - Debris: No Visibk/Fine Layer )4 to1' >1'
Floor__ Debris: No Visible/Fine Layer ) to 1' > 1'
Floor___ Debris: No Visible/Fine Layer % to 1' > 1'
Floor___ Debris: No Visble/Fine Layer % to V > 1'
Floor: __ Debris: No Visible/Fine Layer ) to1' ib-le
Standardized inspection form documenting building characteristics, asbestos materials assessment, and visual inspection results for facade debris on all four sides.