WTC facade inspection form, 111 Franklin Street, Oct 2002

NYC 9/11 Public Portal Document

WTC Visual Survey Form Address: .•F4 — Ifs F a From

Block ill Resident9 Commer i Name of Building: Lot: 21 Mix Use. Other # of Stories: AKA's: Building Owner/Manage nt Telephone Number ( ) Name: i) . 4 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 0 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 ❑N/A ❑Yes❑No ❑ No Visible/Fine Layer 0 South East West ❑ N/A ❑ N/A ❑ N/A ❑ Yes ❑ No DYes9No DYesDNo R No Visible/Fine Layer 34to 1' No Visible/Fine Layer 034t01' ❑ No Visible/Fine Layer 934t01' 0>1'' 0>1' 0>1' Facade Description:

Roof

Debris: No Visible /Fine Layer .934t01' 9'l' Description:

Setbacks N/AI Floor Debris: 0 No Visible/Fine Layer ❑ % to 1' Floor Debris: ❑ No Visible/Fine Layer ❑ i4 to 1' Floor Debris: ❑ No Visible/Fine Layer 34 to 1' Floor Debris: ❑ No Visible/Fine Layer 34 to 1' Floor____ Debris: ❑ No Visible/Fine Layer 34 to I'

Comments

Date: ) / 111302 Inspection Team: Name: Agency. Name: Agency:

NYC-WTC 000130678