WTC inspection form, 214-231 Front Street area, Oct 2001

NYC 9/11 Public Portal Document

WTC Visual Survey Form Premise Address: w r• S Block: l' sidentla3 Commercial p Name of Building: Lot: Mix Use her M # of Stories: AKA's: •5 Building Owner/Management: Telephone Number ( ) Name: FAX: Address: On Site Contact Name: A °~ Building Owner Management Activities Telephone Number.

Interior Survey Performed ❑ Yes ❑ No Exterior Survey Performed Q Yes ❑ No General Clean Up ❑ Yes ❑ No Locations: ACM Clean Up ❑ Yes ❑ No Locations: Air Monitoring ❑ Yes ❑ No Locations: Copies of All Reports and Data Requested p Yes

Visual Inspection Results: Facade: lnpected Debris North ❑ N/A Yes ❑ No , [10o Visible/Fine Layer ❑ 3 to 1" ❑ >V South [JN/A s 0 -No Visible/Fine Layer ❑ % to 1" ❑ > 1" East ❑ N/A ❑ No ,. jNo Visible/Fine Layer ❑ Y to 1" ❑ > 1" West ❑ N/A EYes ❑ No E] No Visible/Fine Layer ❑ % to I" ❑ > 1" Facade Description:

Roof

Debris: Visible /Fine Layer j] % to 1" 0>1" Description:

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

Comments IA ~(, E / 14iL

Date: / x/200$4 Inspection by: Name: Agency: I Name: Agency:

NYC-WTC 000129133