WTC debris inspection form for unknown building, 2002

NYC 9/11 Public Portal Document

WTC Visual Survey Form Premise Address: _ ,T -7 Block: Residential D Commercial Name of Building: Lot: Mix Use Other # of Stories: AKA's: Building Owner/Management: Telephone Number: ( ) Name:M NAi"5 G C/ r FAX:( 3 Address: On Site Contact: Su pr Name: N ic. S j 1- A .f Telephone Number: (2 /L '/t - /9 L Building Owner Management Activities Interior Survey Performed ❑ Yes ❑ No Exterior Survey Performed ❑ Yes ❑ No General Clean Up Yes Q No Locations: i N ; r n E K ~; ; lx/ w ~ 2„) ACM Clean Up JJ Yes j No Locations: Air Monitoring J YesflNo Locations: , rc AIr Fl r i. I Copies of All Reports and Data Requested Yes ( f , C,3f -..It Vv- visual inspection Results: Facade: Inspected Debris North ❑ N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer ❑%zto 1" 0>1" South N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer ❑Y2 to 1" 0>1" East N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer ❑'Y2to 1" 0>1" West j N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer 0114t01" 0>1" Facade Description:

Roof

Debris: ❑ No Visible /Fine Layer ❑'/2 to 1" ❑ > 1" Description: v, s, r r.. c 'c.r~ i ti L &,vi T1r f=t ry

Setbacks N/A 2 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" Floor: Debris: ❑ No Visible/Fine Layer ❑ % to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer ❑ % to 1" ❑ > 1" Comments

Date: I l A. G /2002 Inspection Team: Name: R Fir k r4. I rici,, Agency: U $c,'17 Name: >2 Agency: !mac r~-e RF EA NYC-WTC-000126242