WTC inspection form, 33-43 Gold Street, Mar 2002

NYC 9/11 Public Portal Document

WTC Visual Survey Form Premise Address: 33 GOLD S1 RGrrT Block: F esidential 1 Commercial 0 Name of Building: Lot: Mix Use Other # of Stories: AKA's: Building Owner/Management: Pzop1Y MGR. Telephone Number: (. ii.) 47-1_ 2r r0 Name: AMANDA ov'r 12 FAX: Address: On Site Contact: surr. - Name: S*srtA c o ø.~-ro Telephone Number. (zi z 964- 9isg 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 inspection Results: Facade: Inspected Debris North ❑ N/A ❑ Yes ❑ No [ANo Visible/Fine Layer n'/ to 1" [J>1 South ❑ N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer ❑ Y2 to 1" 0>1" East ❑ N/A ® Yes ❑ No gNo Visible/Fine Layer ❑ % to 1" 0>1" West ❑ N/A © Yes ❑ No ©No Visible/Fine Layer E]'/ to 1" [1> 1" Facade Description:

Roof

Debris: ® No Visible /Fine Layer ❑ 4 to 1" ❑ > 1" Description:

Setbacks N/A ❑X Floor: Debris: ❑ No Visible/Fine Layer ❑'/2 to 1" ❑ > 1" Floor: Debris: [J No Visible/Fine Layer ❑ Y2 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 ❑Y2 to 1" ❑ > 1"

Comments

Date: o5 Iao /2Q? Inspection Team: Name: 'DA / A 02.0 Agency: NYC. 'DEP Name: Agency:

NYC-WTC 000128097