WTC inspection form, 38 Gold Street, Mar 2002

NYC 9/11 Public Portal Document

WTC Visual Survey Form Premise Address: ~ / L_~/ I-oR 33 j 38 Block: 7 Residential D Commercial J Name of Building: Lot: 73 Mix Use ❑ Other ❑ # of Stories: AKA's: Building Owner/Management: j H URCo/v PPTS. Telephone Number: (Z/z) 7_2-7 Name: S-/-e-v.e 5-- i FAX: ( ) Address: On Site Contact: Name: h &4 Telephone Number: ( 211-) 9 '*-P yr Building Owner Managem nt Activities Interior Survey Performed ❑ Yes ❑ No Exterior Survey Performed ❑ Yes ❑ No General Clean Up &Yes ❑ No Locations: ova. L-4- . ACM Clean Up ❑ Yes ❑ No Locations: Air Monitoring ❑ Yes ❑ No Locations: Copies of All Reports and Data Requested ❑ Yes

VISUdI unsprLuvn RCIYIW. Facade: Inspected Debris North ❑ N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer ❑'/2 to 1" ❑ > 1" South ❑ N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer ❑ Y2 to 1" 0>1" East ❑ N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer ❑'/z'to 1"' ❑ > 1" West ❑ N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer ❑ '/2 to 1" ❑ > 1" Facade Description:

Roof ii/i-

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

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

Comments

Date: 21(' /2002 Inspection Team: Name: Agency: Name: Agency:

NYC-WTC 000128108