WTC Visual Survey Form r 00 1 1 z
Premise Address:
60
f u LTn~1 STR EE T
Block: Residential Commercial J Name of Building:
Lot: 7 poi Mix Use p Other ❑ EAI-E j-1-0USE
# of Stories: AKA's:
Building Owner/Management: l Y `A #y G c.&. Telephone Number: ( / ) (ooz -0 (Z_
Name: l-- o k FAX:
Address:
On Site Contact:
Name: 5'ts. ✓ I re ye Telephone Number: (2/2-) (, i f -Z6 -rz
LI
Building Owner Management Activities
Interior Survey Performed ❑ Yes ❑ 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 ❑ Yes
visual inspection Results:
Facade:
Inspected Debris
North ❑NIA Yes❑No Z ❑/2tol" ❑>1"
South ®'N/A ❑ Yes ❑ No El No Visible/Fine Layer ❑/2to1" 0>1"
East S N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer ❑'hto l" [1>1"
West E N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer ❑Y2to l" 0>1"
Facade Description:
Roof
Debris: jS. 4 to 1" ❑ > 1"
Description:
Setbacks N/A J
Floor: Debris: ❑ No Visible/Fine Layer ❑ / to 1" ❑ > I"
Floor: Debris: ❑ No Visible/Fine Layer ❑'/2 to 1" ❑ > 1"
Floor: Debris: ❑ No Visible/Fine Layer ❑ 1/2 to 1" ❑ > 1"
Floor: Debris: ❑ No Visible/Fine Layer ❑'/ to 1" ❑ > 1"
Floor: Debris: ❑ No Visible/Fine Layer ❑'h to 1" ❑ > 1"
Comments
Date: _- / 1G /2002 Inspection Team: Name: l • RA Agency: J CP
Name: Agency:
NYC-WTC 000129281
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NYC-WTC_000129281Source: NYC Law Department, mirrored locally