WTC inspection form, 8 HENRY STREET, BIN 1003375

NYC 9/11 Public Portal Document

/ 1/ WTC Visual Survey Form lO s- iremise Address: ~(

Block:. 2 Residential D Commercial Name of Building: Lot: `F 0 Mix UseD Other -S # of Stories: AKA's: / , N'kna Bumeing Owner/Manage ent: Telephone Number. ( ) Z(0 --3 2 N Address: 4 0 Z - L 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 Results: Facade: Inspected Debris North ❑ N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer ❑Y2to 1' D>1 South ❑ N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer ❑%to1" 0>1" East ❑ N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer ❑%to1" 0>1" West ❑ N/A Yee❑ No ❑ No Visible/Fine Layer ❑12to1 0>1" Facade Description: V _

Roof

Debris: 'KNo Visible /Fine Layer .❑' to 1" 13> 1' Description: c . N~ a^~~ P ~' hkl C L_

Setbacks N/A Floor. Debris: ❑ No Visible/Fine Layer ❑ % to 1' ❑ > 1' Floor Debris: ❑ No Visible/Fine Layer ❑ Va to 1' ❑ > 1' Floor. Debris: ❑ No Visible/Fine Layer ❑ % to 1' ❑ > 1" Floor. Debris: ❑ No Visible/Fine Layer ❑ Ya to 1" ❑ > 1" Floor. Debris: ❑ No Visible/Fine Layer ❑ % to 1' ❑ > 1'

Comments

Date: 5/1_/2002 Inspection Team: Name: Agency: Name: Agency: N T E R E NYC-WTC 000092738