WTC debris survey form, 252 Front Street

NYC 9/11 Public Portal Document

WTC Visual Survey Form remise Address: Bloc • ResidentialD Commercial Name of Building: Lot Mix UseD Other # of Stories: AKA's: 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 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 Inspection Results: Inspected De ris North es No o Visible/Fine Layer %to 1 >1' South WA Yes No No Visible/Fine Layer %to V >1' East N/A Yes No No Visible/Fine Layer % to? > 1' West N/A Yes No No Visible/Fine Layer 3% to V > 1' Facade Description:

Roof Debris: MNo Visible /Fine Layer .D 'e to 1' D> 1' Description:

Setbacks WAD Floor:___ Debris: No Visible/Fine Layer % to 1' Floor_ Debris: No Visible/Fine Layer % to1' Floor.___ Debris: No Visible/Fine Layer '% to 1' Floor_ Debris: No Visible/Fine Layer [] Ys to 1' Floor___ Debris: No Visible/Fine Layer =]Ne to 1' Comments

•1Date: , Inspection Team: Name: _ _t- ENTE RED Name: Agency:

NYC-WTC 000129182