WTC Building Inspection Form, No Exchange Place

NYC 9/11 Public Portal Document

WTC Visual Survey Form Promise Address: xcl~c ge pace (aka) 27 Wi iG Block: 25 Residential fl Commercial D Name of Building: Lot: - Mix Use I Other # of Stories: 20 AKA's: Building Owner/Management:i)Ve' /tom Telephone Number: (ZIZ) 4a 4ci 6e 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 Kesuits: Facade: Inspected Debris North ❑N/A IYes❑No ® No Visible/Fine Layer ❑Vzto1" 0>1" South ❑ N/A ® Yes ❑ No (2 No Visible/Fine Layer ❑%to1" 0>1" East ❑ N/A ® Yes ❑ No No Visible/Fine Layer ❑ V2to 1" D 1" West ❑ N/A ❑ Yes ❑ No fl Visible/Fine Layer No ❑%to1" 0>1" Facade Description:

Roof

Debris: ❑ No Visible /Fine Layer ] to 1" ❑ > 1" Description: ~vo k c i L /, arv~_

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 ❑ Y2 to 1" ❑ > 1" Floor. Debris: ❑ No Visible/Fine Layer ❑'/2 to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer ❑ Y2 to 1" ❑ > 1"

Comments

Date: 3 / 2 /2002 Inspection Team: Name: IZ- Agency: PoP Name: Agency:

NYC-WTC 000130904