WTC inspection form, 201 Front Street area, Oct 2001

NYC 9/11 Public Portal Document

r ~ v WTC Visual Survey Form Premiseaddress:

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

Visual Inspection Results: Facade: Inspected Debris 9>1* North South East ❑ N/A ❑ N/A ❑ N/A ❑ YesQNo ❑ YesQNo Q YesQNo R No Visible/Fine Layer No Visible/Fine Layer O No Visible/Fine Layer 9.4to1' ❑%to l' Q'/ to 1* 0>1' 0>1' West [] N/A EJ.Yes Q No ❑ No Visible/Fine Layer E3'/% to 1* 0>1' Facade Description: (1 „

Roof

Debris: RM-0—visible /Fine Layer -]'/ to 1* 1- 0:1. 1 Description:

Setbacks N/A ®, Floor Debris: Q No Visible/Fine Layer []% to 1' ❑ > 1' Floor Debris: Q No Visible/Fine Layer Q 16101' ❑ > 1* Floor. Debris: Q No Visible/Fine Layer 916 to 1' r'] > 1' Floor. Debris: 0 No Visible/Fine Layer Q A to V 9>1' Floor. Debris: No Visible/Fine Layer 936 to 1' 0>? Comments

Date: I )' I2OO2 Inspection Team: Name: Agency: Name: Agency: ENTEFE ' NYC-WTC-000129110