WTC environmental inspection form, 77 Hudson Street, Oct 2001

NYC 9/11 Public Portal Document I/ WTC Visual Survey Form ftlt n~ 2 P,K4rnise Address: 1k t

Block: /-'O Residential —Commercia1 Name of Building: Lot 75 Mix Use Other 0 of Stories: AKA's: -( C~-t~J /►(A~ Building Owner/Management Telephone Number. j Name: E T 1N G FAX:( Address: P.o, i u - 053 On Site Contact (" Name: ' ' ... ~^ ry Ov Telephone Number. Building Owner Manageme t Activities interior Survey Performed Yes No - Exterior Survey Performed Yes No General Clean Up Yes No Locations: ACM Clean Up DYes No Locations: Air Monitoring j] Yes j] No Locations: Copies of All Reports and Data Requested[]Yes

Visual Inspection Results: Facade: Inspected . Debris North N/A es Q No 9 No Visible/Fine 34 to 1 > 1' South N/A No o Visible/Fine Layer % to 1' >1' East N/A Yes 0 No No Visible/Fine Layer % to 1' > 1' West NIA Yes 9 No No Visible/Fine Layer LayerHyatoll H30-11, Facade Description: -

Roof

Debris: o Visible (Fine Layer .j]% to 1' Descriptio

Setbacks WAD Floor.___ . Debris: No Visible/Fine Layer 34 to 1' >1' Floor:_ Debris: No Visible/Fine Layer K to!' > 1' Floor____ Debris: No Visible/Fine Layer % to 1' > 1' Floor._ Debris: No Visible/Fine Layer 36 to V > 1' floor:___ Debris: No Visible/Fine Layer 34 to1' > 1' Comments

_1 _

Date: =/ff2002 Inspection Team: Name: y , ~. Agency, Name: Agency: NTEE

NYC-WTC 000092788