NYC 9/11 Public Portal Document
Premise Address:
WTC Visual Survey Form 1001289
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Block: Residential 0 Commercial El Name of Building:
Lot: 2 Mix Use j Otherj C,ov-r tdo 4or.v sMrE7-
# of Stories: q AKA's: 1v4 C Pte,
Building Owner/Management: .vcAs Telephone Number: (2/&) 9,3 _s-r o 9 ,
Name: M-r. FAX:
Address:
On Site Contact: m
Name: lS'l7. RiG k-6 i , ç ,.TeIephone Number: (
Building Owner Management Activities
Interior Survey Performed ® Yes ❑ No
Exterior Survey Performed [E Yes ❑ No
General Clean Up , Yes ❑ No Locations:—
ACM Clean Up ®'Yes ❑ No Locations:Gs c u aaiea,
Air Monitoring JYes ❑ No Locations: _ -e m- tom -L _j1 -z--
Copies of All Reports and Data Requested Yes
visual inspection Results:
Facade:
Inspected Debris
North ❑ N/A j YesDNo No Visible/Fine±ayer ❑'/2 to 1" ❑>1"
South ❑ N/A Yes ❑ No No Visible/Ftne±ayer ❑ va to 1" 0>1"
East ❑ N/A BYes ❑ No No Visible/ ae l ayer ❑ % to 1" ❑>1"
West ❑ N/A Yes ❑ No No Visible/Fne-Laydr ❑ Y2 to 1" ❑>1"
Facade Description:
Roof
Debris: 2LNo Visible /Fine yer ❑ % to 1" 0>1"
Description:
Setbacks N/A 1%
Floor: Debris: ❑ No Visible/Fine Layer ❑'/2 to 1" ❑ > 1"
Floor: Debris: ❑ No Visible/Fine Layer ❑ V2 to 1" ❑ > 1"
Floor: Debris: ❑ No Visible/Fine Layer ❑ Y2 to 1" ❑ > 1"
Floor: Debris: ❑ No Visible/Fine Layer ❑'/2 to 1" ❑ > 1"
Floor Debris: ❑ No Visible/Fine Layer ❑ Y2 to 1" ❑ > 1"
Comments
Date: 2 //2002 Inspection Team: Name: Rf /3Ni✓ Agency: rD~-
Name: Agency:
NYC-WTC 000128245
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