WTC inspection form, 207 Front Street area, Oct 2001

NYC 9/11 Public Portal Document

WTC Visual Survey Form Premise Address:

Block: Residential Commercial Name of Building: Lot: Mix Use Other # of Stories: AKA's: Building Owner/Management Telephone Number. ( ) Name: FAX:( Address: On Site Contact Name: Telephone Number. Building Owner Management Activities Interior Survey Performed ❑ Yes 0 No Exterior Survey Performed ❑ Yes 0 No General Clean Up ❑ Yes 0 No Locations: ACM Clean Up ❑ Yes 0 No Locations: Air Monitoring ❑ Yes 0 No Locations: Copies of All Reports and Data Requested Yes

Visual inspection Results: Facade: Inspected Debris • North ❑ N/A ❑ Yes 0 No ❑ No Visible/Fine Layer [] % to 1" 9>1" South 0 N/A ❑ Yes 0 No ❑ No Visible/Fine Layer 934 to 1" 0>1" East West 9 N/A N/A Facade Description: ❑ Yes 0 No 0 Yes 0 No ❑ No Visible/Fine Layer ❑ No Visible/Fine Layer ❑ 34 to 1" ❑ 34 to 1" Q > 1" > 1"

Roof

Debris: 4 .90 Visible /Fine Layer D4 to 1" ❑ > 1" Description:

Setbacks N/ Floor v Debris: Q No Visible/Fine Layer 934 to 1" ❑ > 1" Floor Floor Debris: 0 No Visible/Fine Layer ❑ % to 1" Debris: 0 No Visible/Fine Layer ❑ % to 1" 8>1 >1' 0 Floor. Debris: No Visible/Fine Layer ❑ 3h to? 9>1" Floor Debris: No Visible/Fine Layer ❑ y4 to? 9>1" Comments

Date /_g 2 Inspection Team: Name: Agency: iL Name: Agency:

NYC-WTC 000129092