WTC environmental inspection form, 73 Hudson Street, Oct 2001

NYC 9/11 Public Portal Document Visual Survey Form 1r rL2(LOñ ..:: Wbe Address: 1

Slock: Residential Commercial Name of Building: tLot # of Stories: Mix Use 9 Otherfl AKA's: Building Owner/Management N Telephone Number. ( ) Name: 73 D G FAX:( Address: D On Site Contact: Name: ' ' '' Telephone Number. Building Owner Management Activities Interior Survey Performed [] Yes Q No - Exterior Survey Performed [,] Yes No General Clean Up t] Yes No Locations: ACM Clean Up ❑Yes No Locations: Air Monitoring Yes No r]

Locations: r]

Copies of All Reports and Data Requested[]Yes

Visual Inspection Results: Facade: Inspected Debris North N/A Yes No No Visible/Fine Layer 34 to 1' fl V South N/A Yes g No No Visible/Fine Layer 34 to 1' >1' East N/A s❑No Visible/Fine Layer %to1' >1' West N/A Yes ❑ No No Visible/Fine Layer 34 to 1' > 1' Facade Description:

Roof

Debris: No Visible /Fine Layer .L7 34 to V 13 > V Description:

Setbacks WAt] Floor___ Debris: No Visible/Fine Layer % to 1' > 1' Floor__ Debris: No Visible/Fine Layer 34 to V >V Floor____ Debris: No Visible/Fine Layer 14 to 1' >1' Floor._ Floor.____ Debris: Debris: 8 No Visible/Fine Layer No Visible/Fine Layer 34 to 1' 34 to 1' > 1' > 1' Comments

Date: Inspection Team: Name: _U '` Agency: !dame: Agency: EN .IER -E

NYC-WTC 000092785