WTC site inspection form, DEP, 2002

NYC 9/11 Public Portal Document

WTC Visual Survey Form Premise Address: t S Block: Residenti Commercial Name of Building: Lot: Mix Use D Other # of Stories: AKA's: Building Owner/Management: Telephone Number: ( ) Name: FAX: Address: On Site Contact: S co Name: ' ~ '~^^ t'1`~-- Telephone Number: Building Owner Management Activities Interior Survey Performed ❑ Yes ❑ No Exterior Survey Performed ❑ Yes ❑ No General Clean Up rfes ❑ lo Locations: ACM Clean Up 1J Yes Jo Locations: Air Monitoring ❑ YesI No Locations: Copies of All Reports and Data Requested j Yes

Visual Inspection Results: Facade: Inspected Debris North ❑ N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer ❑'/2 to 1" ❑ > 1" South ❑ N/A `des ❑ No No Visible/Fine Layer ❑ V2 to 1" ❑ > 1" East ❑ N/A "fi r]] Yes ❑ No ❑No Visible/Fine Layer ❑ V to 1" ❑ > 1" West ❑ N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer 0114t01" 0>1" Facade Description:

Roof

Debris: No Visible /Fine Layer ❑'/2 to 1" ❑ > 1" Description•

Setbacks N/A ❑ Floor: Debris: ❑ No Visible/Fine Layer ❑ Va to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer ❑ % to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer ❑'/2 to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer ❑'/2 to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer ❑'/ to 1" ❑ > 1"

Comments , -i C

Date: //2002 ' Inspection Team: Name: t-- Agency: Name: Agency: E N T E R E

NYC-WTC 000129029