12 HARRISON STREET Block: 181, Lot: 7505, BIN 1002068

NYC 9/11 Public Portal Document

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emise Address: Pr 2 Block: C I Residential 0 Commercial 0 Name of Suildin Lot: OS Mix UseD Other # of Stories: AKA's: BuildingOwner/Management Telephone Number. ( ) Name: FAX: Address: On Site Contact: Name: " ' Telephone Number. Building Owner Management Activities Interior Survey Performed ❑ Yes Q No Exterior Survey Performed 0 Yes Q No General Clean Up ❑ Yes 0 No Locations: ACM Clean Up ❑ Yes 0 No Locations: Air Monitoring r]Yes 9 No Locations: Copies of All Reports and Data RequestedDY..

Visual Inspection Results: Facade: Inspected . Debris North 9 N/A ❑ Yes 0 No 414oVsiblefFine Layer ❑%to1' n> 1' South D N/A s0No No Visible/Fine Layer % to 1' > 1' East N/A 9 Yes 0 No No Visible/Fine Layer g % to 1' > 1' West N/A D Yes 0 No No Visible/Fine Layer ❑ % to 1' 9> 1' Facade Description:

Roof Debris: o Visible /Fine Layer .=] % to 1' 9>1' Description:

Setbacks N/A9 Floor to Debris: 0 No Visible/Fine Layer [] % 1' 9>1. Floor Debris: No Visible/Fine Layer [] % to 1' > 1' Floor____ Debris: No Visible/Fine Layer % to 1' a > 1' Floor. r] Debris: No Visible/Fine Layer % to 1' [] > 1' Floor.____ Debris:[] No Visible/Fine Layer % to 1' L] > 1' Comments

Date: =/ ,2002 Inspection Team: Name: Agency: Name: Agency:

NYC-WTC 000093561