WTC inspection form, 38 Gold Street, Mar 2002

NYC 9/11 Public Portal Document

WTC Visual Survey Form Premise Address: _ ~~ C L4J / 1g 33 38 Block: 7 Residential fi Commercial fl Name of Building: Lot: Mix Use ❑ Other ❑ # of Stories: AKA's: Building Owner/Management: jNURe-oiv pP13. Telephone Number: (2a) -77_2-7c Name: S -/-e-vim lti1~~ ~n ~, FAX: ( ) Address: On Site Contact: ----------- ------------------------------------------------------- - Name: J P11 Telephone Number:; P11 -.-.-.-._.-.-.-.-.-.-.-.-.-.-.-.-.-.-.-.-.-. Building Owner Managem nt Activities Interior Survey Performed ❑ Yes ❑ No Exterior Survey Performed ❑ Yes ❑ No General Clean Up BYes ❑ No Locations: ova. L-4- . ACM Clean Up ❑ Yes ❑ No Locations: Air Monitoring ❑ Yes ❑ No Locations: Copies of All Reports and Data Requested ❑ Yes

V ISUdI uEJSpL.I.IUJI r%eUIL . Facade: Inspected Debris North ❑ N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer ❑ % to 1" ❑ > 1" South ❑ N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer ❑ % to 1" 0>1" East ❑ N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer ❑Vi'to 1"' ❑ > 1" West ❑ N/A- ❑ Yes ❑ No ❑ No Visible/Fine Layer ❑ Y2 to 1" ❑ > 1" Facade Description:

Roof

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

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

Comments

Date: 2/(' /2002 Inspection Team: Name: Agency: Name: Agency: I

NYC-WTC 000128108