WTC inspection form, 201 Front Street area, Oct 2001

NYC 9/11 Public Portal Document

3O WTC Visual Survev Form Premise Address: Block: Residential D Commercial U Name of Building: Lot: ri.. Mix Use Other # of Stories: AKA's: / - r FIJo 53 2.01 TIT ArON'i! Building Owner/Management Telephone Number. ) Name: FAX Address: On Site Contact Name: " ' Telephone Number. Building Owner Management Activities Interior Survey Performed ❑ Yes Q No Exterior Survey Performed ❑ Yes O No General Clean Up ❑ Yes No Locations: ACM Clean Up ❑ Yes No Locations: Air Monitoring D Yes 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 34 to 1" 0>? South ❑ N/A r] Yes ❑ No ❑ No Vsible/Fine Layer % to 1" 0>1' East DNA ~/ ❑~Y ❑ No ❑ NgVisible/Fine Layer D4 0>1' West ,,/A ti es ❑ No o Visible/Fine Layer ❑'A:to 1' 0> 1" Facade Description: q n

Roof

Debris: J] No Visible /Fine Layer ❑ % to 1" ❑> Description:

Setbacks N/A ❑ Floor. Debris: [] No Visible/Fine Layer ❑ V to 1' 0>1' Floor. Debris: ❑ No Visible/Fine Layer [] 34 to 1" ❑ > 1' Floor. Debris: 0 No Visible/Fine Layer % to 1' 0>1' Floor. Debris: ❑ No Visible/Fine Layer 34 to 1" 0>1' Floor. Debris:[] No Visible/Fine Layer 'h to 1' ❑ > 1" Comments

Date: 'I (S 2C Inspection Team: Name: Name: ENTERED

NYC-WTC 000129115