WTC inspection form, 229 Front Street area, Oct 2001

NYC 9/11 Public Portal Document

t.- a WTC Visual Survey Form Premise Address: A Block• ResidentialU Commercial Name of uilding: Lot: Mix Use Other a--re. I # of Stories: AKA's: - 0 .y /_ or19-f Building Owner/Man gems t Velephone Number. ( ) Name: FAX: Address: On Site Contact Name: Telephone Number: Building Owner Management Activities Interior Survey Performed Exterior Survey Performed General Clean Up 8 Yes No Yes No Yes No Locations: ACM Clean Up Yes No Locations: Air Monitoring Yes No Locations: Copies of All Reports and Data Requested p Yes

Visual Insuection Results: Facade: Inspected Debris 9>1. North South East 9 N/A N/A N/A Yes ❑ No Yes No Yes No No Visible/Fine Layer No Visible/Fine Layer No Visible/Fine Layer H h to 1' h to 1' 4 to 1' > 1' > 1' West N/A Yes No No Visible/Fine Layer B%tDI" 9>1k Facade Description: () A - 4

Roof Debris: gVislble /Fine Layer ❑ % to 1' 9>? Description•

Setbacks N/A Floor.__ Debris: [] No Visible/Fine Layer l J % to 1" >1' Floor Debris: No Visible/Fine % to 1" > 1' Floor Debris: No Visible/Fine Layer 34t0 1' > 1' Floor Debris: No Visible/Fine Layer 3% to 1' > 1' Floor.___ Debris: No Visible/Fine Layer LayerH%tolw >1'

Comments

• Date: 4 R//2002 Inspection Team: Name: Agency:._______ ENr E Name: Agency:_._____, o NYC-WTC 000129149