WTC environmental inspection form, 81 Hudson Street, Oct 2001

NYC 9/11 Public Portal Document WTC Visual Survey Form 10 I.Premise Address: }

Block: J U Residential Commercial a ,if ng: -r- Lot MixUseD Other L" S I A" -'L'-- W of Stories: AKA's: / Buiidin Ovper/ME~►~m t: Telephone '1 I ( ) Name: Q. ._._. ._._._._. _._ ._. _._._._._._._ .(._._._._._._.)_._._._._._._._._._._._._._._._.__._._._._._ Address: P11 On Site Contact Name: ' " Telephone Number Building Owner Management Activities Interior Survey Performed Q Yes Q No Exterior Survey Performed [] Yes j] No General Clean Up Yes No Locations: ACM Clean Up g Yes No Locations: Air Monitoring j] Yes[] No Locations: Copies of All Reports and Data Requested[]Yes

Visual Inspection Results: Facade: Inspected Debris North South N/A N/A Yes No No ONo No sible/Fine Layer %to10 30 10 fl ar sible/Fine Layer %to10 East N/A Yes No No Visible/Fine Layer % to 10 30 10 West N/A YesDNo No Visible/Fine Layer % to 10 30 10 Facade Description:

Roof

Debris: Visible /Fine Layer .fl% to V JJ > V Description:

Setbacks WAD Floor._ _ Debris: No Visible/Fine Layer % to? > 10 Floor__ Debris: No Visible/Fine Layer %e to 10 > 10 Floor_ Debris: No Visible/Fine Layer 6 to 10 > 10 Floor:_ Debris: No Visible/Fine Layer ) to 10 301' Floor:_ Debris: No Visible/Fine Layer %to? >1 Comments

Date: -/ 1 (12002 Inspection Team: Name: Agency: ~ Name: Agency: !' L.

NYC-WTC 000092791