WTC Environmental Inspection Form, 207 Front Street Area, Oct 2001

NYC 9/11 Public Portal Document

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70 6 WTC Visual Survey Form ( a

Premise Address:

Block: ResidentialD Commercial Name of Building: Lot: Mix UseD OtherJJ # of Stories: AKA's: Building Owner/Management Telephone Number Name: rt v c_ b JeJofr F C.o,i FAX: Address: On Site Contact Name: ' ' Telephone Number. Building Owner Management Activities Interior Survey Performed Yes No Exterior Survey Performed Yes No General Clean Up Yes No locations: ACM Clean Up Yes No Locations: Air Monitoring Yes No Locations: Copies of All Reports and Data RequestedD Yes

Visual Inscection Results: Facade: Inspected De ris North Yes No No Visible/Fine Layer % to Y > 1' South NIA Yes No No Visible/Fine Layer 36 to 1' >1' East N/A Yes No No Visible/Fine Layer h to 1 > 1' West ❑ N/A Yes No No Visible/Fine Layer % to 1' ❑ > 1' Facade Description:

Roof Debris: R(No Visible /Fine Layer O % to l' Description:

Setbacks N/AD Floor.___ Debris: No Visible/Fine Layer %to 1' > 1' Floor Debris: No Visible/Fine Layer 34 to 1' > 1' Floor.___ Debris: No Visible/Fine Layer 34 to 1' >1' Floor. Debris: No Visible/Fine Layer 34 to 1' > 1' floor. Debris: No Visible/Fine Layer % to 1' > 1' Comments

Date:,/_/2002 Inspection Team: Name: _(4 h 0iç L9 Agency: Nam: Agency: EN TERED NYC-WTC 000129073