NYC 9/11 Public Portal Document
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Premise Address- ✓^ ~ - l 0? Q!
2 `8
Biock: ResidentialCommercial Name of Building:
lot: Mix Use Other
#~ of Stories: AKA's: ? o 2
Building OwnerlManagemenk / -v g -t z- /
Telephone Number:( j
-
Name: FAX:
Address:
On Site Contact
Nam:" '' Telephone Number.
Building Owner Management Activities
interior Survey Performed Yes D No
Exterior Survey Performed Yes D No
General Clean Up Yes No Locations:
ACM Clean Up Yes No Locations:
Air Monitoring Yes No Locations:
Copies of Aii Reports and Data Re uested JJ Yes
Visuai inspection Results:
Inspected Debris
North N/A Yes No No Visible/Fine 11to1' al'
South N/A Yes No No Visible/Fine Layer Y to1' a1'
East N/A Yes No No Visible/Fine Layer 3% to 1' a 1'
West N/A NYesHft No Visible/Fine Layer
layerHMID16 9*1 0
Facade Description: .
Setbacks WA13
Floor:_.__ Debris: No Visible/Fine Layer %to1' '1'
Floor:_ Debris: No Visibie/Fine Layer % to1' al'
Floor:__ Debris: No VisiblefFlne Layer 6 to l' al'
Floor.___ Debris: No Vaible/Fine Layer )41o1' al '
Floor:___ Debris: No Valble/Fine Layer )b l' al'
Comments