WTC facade inspection form, 105 Franklin Street, Oct 2002

NYC 9/11 Public Portal Document

WTC Visual Survey Form /6(9/777 Premise Address: ,~ B Block: ResideritialJ 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 ❑ No Exterior Survey Performed ❑ Yes ❑ No General Clean Up ❑ Yes No Locations: ACM Clean Up ❑ Yes 0 No Locations: Air Monitoring ❑ Yes ❑ No Locations: Copies of All Reports and Data Requested J Yes Visual Inspection Results: Facade: Inspected Debris North ❑ N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer 014to1' 9>1' South East West ❑ N/A ❑ N/A ❑ N/A 0YesDNo DYesDNo Yes ❑ No R No Visible/Fine Layer No Visible/Fine Layer ❑ No Visible/Fine Layer 014to1' 014to1' ❑ 6 to 1' 0>1' 0>1 - 0>1' Facade Description: f ,

Roof

Debris: No Visible /Fine Layer .❑ 14 to 1' ❑ > 1' Description:

Setbacks N/A. Floor Debris: ❑ No Visible/Fine Layer ❑ 14 to 1' Floor Debris: ❑ No Visible/Fine Layer ❑ i4 to 1' Floor Debris: ❑ No Visible/Fine Layer ❑ 14 to 1' Floor: Debris: ❑ No Visible/Fine Layer 14 to? Floor____ ❑ No Visible/Fine Layer 14 to 1'

Comments

Date: =/ ti 12002 Inspection Team: Name: Agency. Name: Agency:

NYC-WTC 000130661