Block: Residential 0 Commercial J Nape of Building.
Lot: Mix Use 0 Other t A C,;~ ,
# of Stories: I AKA's: £6
Building Owr *rim-%nA.Ra, „ant-.-.-.-.-.-.-.-.-.-.-.-.-.-.-.-.Z Telephone Number: (
Name: PII P
FAX: --------------------------------------------- ---.-.
Address:
On Site Contact:
Name: ' ' Telephone Number:
Building Owner Management Activities
Interior Survey Performed ❑ Yes ❑ No
Exterior Survey Perform d ❑ Yes [] No
General Clean UFO "fees ❑ o Locations:
ACM Clean Up ❑ Ye No Locations:
Air Monitoring ❑ Yes No Locations:
Copies of All Reports and Data Requested 0 Yes
Visual Inspection Results:
Facade:
Inspected Debris
North ,,EN/A ❑ Yes ❑ No ❑ No Visible/Fine Layer ❑Y2to1" 0>1"
South ❑ N/A [-.Yes ❑ No No Visible/Fine Layer 034t01" 0>1"
East ❑ N/A aYes ❑ No No VSible/Fine Layer DY2to1" 0>1"
West ❑ N/A 0Yes ❑ No to Visible/Fine Layer ❑%to1" 0>1"
Facade Description:
Roof
Debris: ❑No Visible /Fine Layer El % to 1" ❑ > 1"
Description:
Setbacks N/A ❑
Floor: Debris: ❑ No Visible/Fine Layer 0½ to 1" ❑ > 1"
Floor: Debris: ❑ No Visible/Fine Layer 0½ to 1" ❑ > 1"
Floor: Debris: ❑ No Visible/Fine Layer ❑ % to 1" ❑ > 1"
Floor: Debris: ❑ No Visible/Fine Layer 0½ to 1" 0> 1"
Floor: Debris: ❑ No Visible/Fine Layer ❑ % to 1" ❑ > 1"
Comments
Date Inspection Team: Name: i' Agency:, G
Name: Agency:
NYC-WTC 000128257
OCR can misread numbers and units. Confirm readings against the page image before using them.
NYC-WTC_000128257Source: NYC Law Department, mirrored locally