WTC inspection form, 44 Gold Street, Mar 2002

NYC 9/11 Public Portal Document

WTC Visual Survey Form Mal I R''7 Premise Address: 44Gro4 ST Block: Residential 0 Commercial fJ Name of Building: Lot: 25 Mix Use J Other ❑ ? Cvz4i C4 -

# of Stories: AKA's: Building Owner/Management: Telephone Number: Name: FAX: Z -i g -r Address: LJ.4 & j, cc. On Site Contact: Name: A 'sue- 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 Debris North ❑ N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer ❑%to 1" 0>1" South ❑ N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer ❑%to 1" 0>1" East ❑ N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer ❑%to 1" 0>1" West ❑ N/A .®Yes ❑ No 2 No Visible/Fine Layer ❑%to 1" 0>1" Facade Description:

Roof

Debris: ,/z to 1" 0>1" Description:

Setbacks N/A0 Floor. Debris: ❑ No Visible/Fine Layer 0 Y 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 ❑ % to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer ❑ % to 1" ❑ > 1"

Comments -amw*

,ter

Date: Z / / S' /2002 Inspection Team: Name: rl Agency: P. Name: Agency:

NYC-WTC 000128138