WTC exterior inspection form, 28 Cliff Street

NYC 9/11 Public Portal Document

WTC Visual Survey Form 1001173 remise Address: Cc.i P Block: 15 Residential J Commercial E Name of Building: Lot: Mix Use ❑ Other El # of Stories: AKA's: Building Owner/Management: Telephone Number: ( ) Name: FAX: ( ) Address: On Site Contact: Name: Telephone Number: ( ) 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: Air Monitoring ❑ Yes ❑ No Locations: Copies of All Reports and Data Requested Yes

visual vnspecuvrn r%tMUIw. Facade: Inspected Debris North N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer ❑'/z to 1" South N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer ❑'/2 to 1"

East fl N/A ® Yes ❑ No ❑ No Visible/Fine Layer ❑ '/2 to 1"

West ❑ N/A Yes ❑ No No Visible/Fine Layer ❑ Y2 to 1" Facade Description:

p~ ~ 5~iS Roof ~ w,. ~ c.~~

Debris: No Visible /Fine Layer ❑ % to 1" ❑ > 1" Description: p p La c sz wed. ~ 1~ - 11

Setbacks N/A Floor: Debris: ❑ No Visible/Fine Layer ❑ % to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer ❑ % to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer ❑ % to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer 0'/2 to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer ❑ 1/ 2 to 1" ❑ > 1"

Comments

Date: " "'O'2 Inspection Team: Name: mohaLn Agency: Name: Agency: 2)2o /02_ ,

NYC-WTC 000126410