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WTC debris inspection form, residential building, date unknown

Machine-extracted title · confidence 50%

Form recording inspection status of a building facade and interior for visible debris and asbestos.

NYC-WTC_000154742

Folder label: “Buildings 105 Duane 80 John Gateway etc. 75 Park 200 Rector Trinity Church

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Scanned page image, NYC-WTC_000154742
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NYC 9/11 Public Portal Document WTC Visual Survey Form loeiMo^

Block: 11% Residential {j Commercial 9 Name of Bulldino: Lot; 1 Mix Use D extern d of ____________ Stoi AKA’s;4M»Wte CHU^U S^ PAttf i Building Owner/Marragement Telephone Number. fSfS) O’ M Nam«'ZBft*»»UTM M»HAWMCtW ttM.FAX Cait) Addretr 'lBM <* Av« M.U. MAi. IBB» S On Site Contact • ” * N8mr_JU|<_<JVI*eJ^ _________Telephone Number ( ) • Building Owner ManagementJetivities Interior Survey performed Q ]Yes Yes g No Exterior Survey Performed I Yes General Clean Up H Yesi I No Lo5ations:Jdju^[10^XJCAMk)(0_________ ACM Clean Up D Yes] I No Locations;_____________________________ Air Monitoring Q Yes { No Locations:____________ __________ ___________ _______ Copies of All Reports and Data Requested □ Yes

Visual Inspection Results; < Facade: Inapaetod Oabria North □ NZA KYesONo 8 NoVtsible/FiQAlaxpr 1410 r B >1" South JN/A MYes J No g NoVisibie/FineLawr >4101" >1" IN/A gYesHNo g NaVisibleZffigESer 5410 1" East West □ N/A Facade Description: BYesDNo g No VisibleZFine Layer Hlol" B:? WtHBisK RMhTH HAV* yiSiBUS L * LAMgauac »Mi»y or v^sr oisr»v<>

Debris: □ No Visible /Fine Layer O>r Description: »

Setbacks NZ^ HeM<&<lAveL. Floor: t<rT Debris: r Io Vbible/Fine Layer >4tor Floor: jE: Debris: „ No V»ible/F^ Layer Htor Floor.____ Mds: " No Vasble/Fine Layer Mter Floor:___ Debris: . No Visible/Fine Layer Htor >1" Floor Debris: . No Visible/Fine Layer >itor >1" Commet I* p. wmt spa asas ac rauoa*ue «ep oasyseaS .vs I lOrt % Ct as i I Dele IS ZH /2O02 irwpection Team: Name: Agency: E MT £e®® Name: Asency;

NYC-WTC_000154742

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NYC-WTC_000154742Source: NYC Law Department, mirrored locally

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