NYC 9/11 Public Portal Document
WTC Visual Survey Form
Premise Address: EXCHRA(4i i✓ )LACE
Block: Residential 0 Commercial Name of Building:
Lot: Mix Use J Other ❑
# of Stories: 2o AKA's: i I L-LI A,I s7-Q E r, --z rnrn ~ sT
Building Owner/Management: Telephone Number: ( )
Name: NAG / . CORP- c (,a • FAX: ( )
Address: ptc/ ic /nliM? £ ,cif PeArc-,
On Site Contact:
Name: ' ,l R t_ 13t-i r, . Telephone Number: (2 /2 22 -24 96
Building Owner Management Activities
Interior Survey Performed ❑ Yes ®`No
Exterior Survey Performed ❑ Yes No
General Clean Up 0 Yes ❑ No Locations: v4/24 .
ACM Clean Up ❑ YesZNo 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 Ø2 to 1" ❑ > 1"
South ❑ N/A EYes ❑ No No Visible ❑ % to 1" 0>1"
East ❑ N/A ®'Yes ❑ No ❑ No Visible/Fine / to 1" ❑ > 1"
West ❑ N/A Ig Yes ❑ No ❑ No Visible/Fine Layer
Layer1%tol" ❑ > 1"
Facade Description:
WEST S17DE c-omPRISGS ®T- {RET FACE-t S OF I' t/AR2>
` 4i . DO DF ?14R€ tDGS ®F 'fy St24 AMT HNs Vts(Z&
. s cwt: i.
Roof
Debris: ❑ No Visible /Fine Layer 5q'/: to 1" 0>1"
Description: qv- LCA vs Sf2 o7j . or- O
Setbacks N/A '
Floor. Debris: ❑ No Visible/Fine Layer ❑'/ to 1" ❑ > 1"
Floor. Debris: ❑ No Visible/Fine Layer f % to 1" ❑ > 1"
Floor: Debris: ❑ No Visible/Fine Layer ❑'/2 to 1" ❑ > 1"
Floor Debris: ❑ No Visible/Fine Layer ❑'h to 1" 0>1"
Floor: Debris: ❑ No Visible/Fine Layer ❑ 34 to 1" ❑ > 1"
Comments
Date: `7 ,2 2- 12002 Inspection Team: Name: k Arn n't o-4,+H Agency: N'- DG P.
Name: Agency:
NYC-WTC 000130917
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