WTC inspection form, 250 Front Street area, Oct 2001

NYC 9/11 Public Portal Document

___. WTI Visual Survey Form Premise Address: as; Block: 101 ResidentiallJ Commercial Name of Building: Lot Mix Use 9 Other # of Stories: AKA's: Building OwnerlManagement 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 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 DYes

Visual inscectfon Results: Facade: Ins cfied Oe ris North iAk es No o Visible/Fine % to? > 1' South es No o Visible/Fine Layer % to 1' >1' East N/A Yes No No Visible/Fine Layer 34 to 1 > 1' West N/A Yes No No Visible/Fine Layer LayerH%tol" > 1' Facade Description:

Roof Debris: ~o Visible /Fine Layer .=134 to 1' D> 1' Description:

Setbacks NWAfl Floor:__ Debris: No Visible/Fine Layer % to V > 1' Floor:___ Debris: No Visible/Fine Layer % to1' >1' Floor___ Debris: No Visible/Fine Layer % to 1' >1' Floor_ Debris: No Visible/Fine Layer %to 1' > 1' Floor:___ No Visible/Fine Layer % to 1' > 1'

Comments

gate: 2O 0 Inspection Team: Name: 4 Agency: Name: Li&vt Agency:

NYC-WTC 000129176