WTC facade inspection form, 100 Dutch Street, 2002

NYC 9/11 Public Portal Document

WTC Visual Survey Form BICI 1CO t\18 Premise Address: e u-tc Y I 5+re Block: 1 ResidentialD Commercial Name of Building: Lot: Z(p Mix Use ❑ 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 ❑ 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 z to 1" []> 1" South ❑ N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer % to 1" ❑ > 1" East ❑ N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer / to 1" ❑ > 1" West ❑ N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer J4 to 1" ' ❑ > 1" Facade Description:

Roof

Debris: No Visible /Fine Layer ❑%to1" 0>1" Description:

Setbacks N/A ❑ Floor. Debris: ❑ No Visible/Fine Layer ❑'/ to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer ❑ % to 1" ❑ > 1" Floor. Debris: []No Visible/Fine Layer ❑ /2 to 1" ❑ > 1" Floor. Debris: ❑ No Visible/Fine Layer ❑ % to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer ❑ /2 to 1" ❑ > 1"

Comments

Date: / /2002 Inspection by: Name: 0h Agency: IJE 17 Name: Agency:

NYC-WTC 000130790