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

NYC 9/11 Public Portal Document

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WTC Visual Survey Form BIB* 107 7'F04 Premise Address: 33 _L43 Residential C Icy 54ree 8a -~8 Fu Iron ree j- Block: '17 fl Commercial 0 Name of Building: Lot: 24 Mix Use ❑ Other 0 of Stories: AKA's: — re 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 inspection Results: Facade: Inspected I bris North ❑ N/A ❑ Yes ❑ No No Visible/Fine Layer ❑ % to 1" 0>1" South ❑ NIA ❑ Yes ❑ No No Visible/Fine Layer ❑ % to 1" 0>1" East ❑ NIA ❑ Yes ❑ No No Visible/Fine Layer ❑ %% to 1" 0>1" West ❑ N/A ❑ Yes ❑ No No Visible/Fine Layer 0% to 1" 0>1" Facade Description:

Roof

Debris: kNo Visible /Fine Layer ❑%tol" 0>1" Description:

Setbacks N/A ❑ Floor Debris: ❑ No Visible/Fine Layer ❑ Y2 to 1" ❑ > 1" Floor. Debris: ❑ No Visible/Fine Layer ❑ % to 1" ❑ > 1" Floor. Debris: ❑ No Visible/Fine Layer ❑ % to 1" 0>1" Floor Debris: ❑ No Visible/Fine Layer ❑ Y2 to 1" ❑ > 1" Floor. Debris: ❑ No Visible/Fine Layer ❑ . to 1" ❑ > 1"

Comments

Date: c) /2002 Inspection by: Name: AP Agency: DG P Name: Agency:

NYC-WTC 000128102