WTC visual survey form, 118 Nassau Street, 2002

NYC 9/11 Public Portal Document

WTC Visual Survey Form 'hOOl2"7t Premise Address: i 8 Nassau Stree-k Block: q 2 ResidentialD Commercial 0 1 Name of Building: Lot: 2.to Mix UseD Other # of Stories: AKA's: Building Owner/Management Telephone Number ( ) 0 Name: FAX: Address: On Site Contact: Name: Telephone Number Building Owner Management Activities Interior Survey Performed ❑ Yes ❑ No Exterior Survey Performed ❑ Yes ❑ No General Clean Up ❑ Yes D No Locations: ACM Clean Up Q 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 ❑%to1" 0>1" South ❑ N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer ❑%to 1" ❑> 1" East ❑ N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer ❑%to 1" 0>1" West ❑ N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer ❑Y2to1" 0>1" Facade Description:

Roof

Debris: /Fine Layer , Q Y to V ❑ > 1" Description:

Setbacks N/A M Floor Debris: ❑ No Visible/Fine Layer ❑'h to 1" ❑ > 1" Floor. Debris: ❑ No Visible/Fine Layer ❑ l2 to 1" ❑ > 1" Floor. Debris: ❑ No Visible/Fine Layer ❑ % to V ❑ > 1" Floor. Debris: ❑ No Visible/Fine Layer 0 % to 1" ❑ > 1" Floor Debris: ❑ No Visible/Fine Layer ❑ % to 1" ❑ > 1" Comments

Date: 1 /2002 Inspection by: Name: CL Agency: E_ Name: Agency: I NYC-WTC 000098799