NYC 9/11 Public Portal Document
,/ WTCYlsual Survey Form Ir - 70ITS?
tbmise Address: ~
3
Block: Residential 0 CmercIal jj Name of Building:
Lot 7 D27 Mix Use 9 Other
# of Stories: AKA's: 72 ii
BuH4InLOwne/Mana9f1snt Telephone Number. ( )
Name: C 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 9 Yes
Visual Inspection Results:
Inspected Debris
North N/A Yes No No Visible/Fine Layer % to1' '1'
South NIA Yes No No Visible/Fine Layer S4 to1' >1'
East N/A Yes No o Visible/Fine Layer % to 1' > t'
West N/A No o Visible/Fine Layer 34 to 1 11'
Facade Description: .
Roof
Debris: No Visible lFine LayeT L]34 to 1' I] > 1 '
Description:
Setbacks WAD
Floor._ . Debris: No Vislb)&Fine Layer Mole
Floor:__ Debris: No Visible/Fine Layer !4 to? > 1'
Floor.__ Debris: No Vaible/Fine Layer 34 to1' '1'
Floor:_ Debris: No Visible/Fine Layer % to1' > 1'
Floor:___ Debril: No Valble/Fine Layer %toi' >1'
Comments
Data• /o pec Lion Team: Name: Agency:
dme: Agency:
N .T . E R. E.
NYC-WTC 000133988
OCR can misread numbers and units. Confirm readings against the page image before using them.
NYC-WTC_000133988Source: NYC Law Department, mirrored locally