NYC 9/11 Public Portal Document
WTC Visual Survey Form
Premise Address:
90 Gyo - P SR E1
Block: Residential Commercial J j Name of Building:
Lot: Mix Use D Other
# of Stories: AKA's:
Building Owner/Management: Sow R:4a " Telephone Number. (212) a6-r _ 6t9a
Name: Jar 3~ d.o. FAX:
Address:
On Site Contact:
Name: Ang .,c K/ia. , Sipe.v. Telephone Number.
Building Owner Manadement Activities
Interior Survey Performed ❑ Yes ❑ No
Exterior Survey Performed ❑ Yes [] No
General Clean Up EYes ❑ No Locations: yw7
ACM Clean Up ❑ Yes ❑ No Locations:
Air Monitoring ®'Yes ❑ No Locations: yerinvs
Copies of All Reports and Data Re uested Yes
Visual inspection Results:
Facade:
Inspected Debris
North ❑ N/A EYes ❑ No No Visible/Fine-Layer ❑114to1" ❑>1"
South ❑ N/A J'Yes ❑ No No Visible/Fine-L-ay►yr ❑Mato 1" 0>1"
East ❑ N/A 0 Yes ❑ No ® No Visible/Fhi t~iyer ❑vatof 0>1"
West ❑ N/A 'Yes ❑ No IZ No Visible/Finc Layer ❑Yatol" 0>1"
Facade Description:
Roof
Debris: 2 No Visible /Fine-Dyer ❑'/z to 1" 0>1"
Description:
Setbacks N/A
Floor. Debris: 0 No Visible/Fine Layer ❑%to l" 0>1"
Floor Debris: ❑ No Visible/Fine Layer ❑%to1" 0>1"
Floor Debris: ❑ No Visible/Fine Layer ❑ a to l" 0>1"
Floor Debris: 0 No Visible/Fine Layer ❑ 4 to 1" n>1"
Floor Debris: ❑ No Visible/Fine Layer ❑%to l" >1"