NYC 9/11 Public Portal Document
~. = i , 63 WTC Visual Survey gm
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Block4J Residential JJ ComfneriaI 7 Name of Building:
Lot: rrx Mix Use 0 Other 0 c 4 i, -
# of S for es: AKA's:
Building Owner/Management: Telephone Number. (v.2. ) ?-. :?;s- 101).
Name: FAX:
Address:
On Site Contac
Name: LJ 4-$o,1 liv 11,4 Srtvr.Q rf ,. Telephone Number: (24L) Z
Building Owner Management Activities
Interior Survey Performed ❑ Yes ❑ No
Exterior Survey Performed ❑ Yes ❑ No
• General Clean Up (M Yes ❑ No Locations: roo
ACM Clean Up ❑ Yesj No Locations:
Air Monitoring Yes D No Locations:
Copies of All Reports and Data Requested ❑ Yes
visual inspection Kesu!ts:
facade:
• Inspected Debris
North 0 N/A ® Yes ❑ No ❑ No Visible/Fine Layer ® % to 1"
"" -South ❑ N/A ® Yes ❑ No ❑ No Visible/Fine Layer J 'h to 1"
East ❑ N/A Yes ❑ No ❑ No Visible/Fine Layer % to 1"
West • ❑ N/A jYesDNo 0 No Visible/Fine Layer j % to 1"
Facade Description:
by 14(4d . /Sec . "A)wc/jr. v ,C
Roof Jyt
Debris: Q No Visible /Fine yer '/ to 1" ❑ > 1"
Description: Dd rrs oA, ft r 'i a,e a t1 bwe l•W. c•
Setbacks N/A 0
Floor: Ii Debris: ❑ No Visible/Fine Layer ®'/2 to 1" ❑ > 1"
Floor: Debris: ❑ No Visible/Fine Layer ❑ 2 to 1" ❑ > 1"
Floor: Debris: ❑ No Visible/Fine Layer ❑ /2 to 1" ❑ > 1"
Floor: Debris: ❑ No Visible/Fine Layer 0'/2 to 1" ❑ > 1"
Floor. Debris: ❑ No Visible/Fine Layer ❑ / to 1" ❑ > 1"
Date: / .2 ( /2002 Inspection Team: Name: R. P. fL fh tlt Agency: V I
Name: . 014F // D Agency: N (4 C D F
NYC-WTC 000126304
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