WTC facade inspection form, 40 Exchange Place, 2002

NYC 9/11 Public Portal Document

WTC Visual Survey Form 100 O?L Premise Address: f xcliccW pace ~a a) 27 £VI//i'tv.si 9t. Block: Z5 Residential D Commercial j J Name of Building: Lot: -7 MixUseD Other # of Stories: 20 AKA's: Building Owner/Management: ve ; j1 /) ,4. Telephone Number: (2i_) 4a -4u 6, 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 f Yes

visual inspection Results: Facade: Inspected Debris North ❑ N/A jI Yes ❑ No ( No Visible/Fine Layer ❑'/z to 1" South ❑ N/A & Yes ❑ No j l No Visible/Fine Layer ❑ /z to 1" East ❑ N/A ® Yes ❑ No No Visible/Fine Layer ❑ Y2 to 1" West ❑ N/A ❑ Yes ❑ No fl No Visible/Fine Layer ❑ % to 1" Facade Description:

Roof

Debris: ❑ No Visible /Fine Layer g] % to 1" ❑ > 1" Description: CIR.Q.ww¢-€ , of-c) c .a

Setbacks N/A 5a Floor. Debris: ❑ No Visible/Fine Layer ❑'/ to 1" ❑ > 1" Floor: Debris: ❑ No VSible/Fine Layer ❑ /z to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer 0 % to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer ❑ % to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer ❑ /z to 1" ❑ > 1"

Comments

Date: 3 / 2- /2002 Inspection Team: Name: / Z - Lo Agency: f GP Name: Agency:

NYC-WTC 000130908