WTC facade inspection form, 108 Franklin Street, Oct 2002

NYC 9/11 Public Portal Document

WTC Visual Survey Form ?praise Address:

Block: JI Residential bCommercial9 -r Name of Building: Lot i Mix UseD btherp # 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 ❑ No Locations: Air Monitoring ❑ Yes ❑ No Locations: Copies of All Reports and Data Requested D Yes

Visual Inspection Results: Facade: Inspected Debris North 0 N/A ❑ Yes 0 No 0 No Visible/Fine Layer ❑ 34 to 1' 9>1. South ❑ N/A ❑Yes ❑ No ❑ No Vsible/Fine Layer ❑ 34 to 1' 0>1. East ❑ N/A ❑Yes ❑ No ❑ No Visible/Fine Layer 034t01' 9"l' West 0 N/A ❑Yes ❑ No~ ❑ No Visible/Fine Layer ❑ % to 1' 9>1' Facade Description: ,' 9

Roof

Debris: No Visible /Fine Layer -E] % to 1' ❑ > 1' Description:

Setbacks N/A`'( Floor. Debris: ❑ No Visible/Fine Layer '4 to V 0>1. Floor Debris: 0 No Visible/Fine Layer i4 to 1' 0>1' Floor Debris: ❑ No Visible/Fine Layer 34 to 1' > 1' Floor Debris: 0 No Visible/Fine Layer ❑ 4 to 1' > 1' Floor Debris: ❑ No Visible/Fine Layer ❑ i4 to 1' >1°

Comments

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

NYC-WTC 000130666