WTC facade inspection form, 102 Franklin Street, Oct 2002

NYC 9/11 Public Portal Document

WTC Visual Survey Form /

170wfl ise Address: —(<-' A;L 'Block: Residential Commercial 9 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 0 No Exterior Survey Performed 0 Yes 0 No General Clean Up ❑ Yes 0 No Locations: ACM Clean Up ❑ Yes 0 No Locations: Air Monitoring [] Yes 0 No Locations: Copies of All Reports and Data Requested j Yes Visual Inspection Results: Facade: Inspected Debris North 0 N/A ❑ Yes 0 No No Visible/Fine Layer E]%to 1• 9>1' South N/A ❑ Yes [] No No Visible/Fine Layer D,4to1• 0>1- East N/A ❑YesQNo No Visible/Fine Layer D%to1• 0>1- West N/A []YesQNo No Visible/Fine Layer ❑,4to1• 0>1' Facade Description: A

Roof

Debris: No Visible /Fine Layer .0 6 to 1' 9>1' Description:

Setbacks N/A®, Floor.____ Debris: 0 No Visible/Fine Layer % to V 0>1' Floor Debris: 0 No Visible/Fine Layer % to 1' >1' Floor Debris: 0 No Visible/Fine Layer % to 1' > 1- Floor Debris: 0 No Visible/Fine Layer % to 1' > 1' Floor.____ Debris: 0 No Visible/Fine Layer ❑ .4 to 1• >1'

Commopts

Date: Inspection Team: Name: Agency: Name: Agency:

NYC-WTC 000130642