WTC inspection form, 211 Front Street area, Oct 2001

NYC 9/11 Public Portal Document

f `'tbO1X?"I Premlsö Address: WTC Visual Survey Form k - &Pd( Biock q ResidentialLi Commercial Name of Building: Lot Mix Use9 Other # of Stories: AKA's: Building Owner/Management Telephone Number ( ) Name: FAX: Address: On Site Contact Nana;: ' ' Telephone Number Building Owner Management Activities Interior Survey Performed Yes Q No Exterior Survey Performed Yes No General Clean Up Yes No Locations: ACM Clean Up Yes No Locations: Jr Monitoring Yes No Locations:______________________________ ations: Copies of All Reports and Data Requested fl Yes

Visual Inspection Results: Facade: Inspected De ris North es No No Visible/Fine Layer 4 to 1' > 1' South - es No No Visible/Fine % to 1' '1' East N/A Yes No No Visible/Fine Layer % to 1' > 1' West N/A Yes No No Visible/Fine Layer LayerH%tol" > 1' Facade Description:

Roof Debris: o Visible /Fine Layer .0NX to 1' _l> 1" Description:

Setbacks N/A9 Floor Debris:DNo Visible/Fine Layer ❑ % to 1' Floor:____ Debris: No Visible/Fine Layer % to1' Floor:____ Debris: No Visible/Fine Layer % to 1' Floor____ Debris: No Visible/Fine Layer % to 1' Floor_, Debris: No Visible/Fine Layer to 1" Comments

I

Date: I .J2OO2 Inspection Team: Name: rtLtflD Agency: Name: w► Agency:______ EIVTEREta

NYC-WTC 000129100