NYC 9/11 Public Portal Document
WTC Visual Survey Form 10R A?A<
Pr ._.ise Address: 7-
" 9
Block: Residential CommercialD Name of Building:
Lot: 1 Mix Use J Other
# of Stories: AKA's:
Building Owner/Management: SoLtttIA4a 17 Telephone Number. ( 212.) 4 -i— ,tgo
Name: J or FAX:
Address:
On Site Contact
Name: ",4 'e c Kk A--t. s,, Telephone Number.
Building Owner Management Activities
Interior Survey Performed ❑ Yes ❑ No
Exterior Survey Performed 0 Yes ❑ No
General Clean Up EYes ❑ No Locations: yo-vrbvs
ACM Clean Up ❑ Yes ❑ No Locations:
Air Monitoring f 'Yes ❑ No Locations: v vrn.'s
Copies of All Reports and Data Re uested Yes
visual inspection KesuI :
Facade:
Inspected Debris
North [] NIA OYes ❑ No No Visible/Fine Layer ❑ V to 1" 0>1"
South ❑ N!A JRYes ❑ No 1No Visible/F a-Layer ❑ % to 1" 9>1"
East ❑ NIA El Yes ❑ No ® No Visibl&Finetayèr ❑ % to 1" ❑ > 1"
West ❑ N/A EYes ❑ No 10 No Visible/Fine-Layer ❑ V: to 1" 0>1"
Facade Description:
Roof
Debris: No Visible /l=ine-Layer ❑ V to 1" 9> 1"
Description:
Setbacks NIA
Floor. Debris: 0 No Visible/Fine Layer ❑ V to 1" 0>1"
Floor. Debris: ❑ No Visible/Fine Layer 9V to 1" ❑ > 1"
Floor. Debris: ❑ No Visible/Fine Layer ❑ % to 1" ❑ > 1"
Floor. Debris: ❑ No Visible/Fine Layer ❑ % to 1" ❑ > 1"
Floor. Debris: 0 No Visible/Fine Layer ❑ h to 1" L] > 1"
Comments
Date: 2 / 24 12002 Inspection Team: Name: R rnoh Agency: a .)EP.
Name: Agency:
NYC-WTC 000128236
OCR can misread numbers and units. Confirm readings against the page image before using them.
NYC-WTC_000128236Source: NYC Law Department, mirrored locally