WTC debris inspection form, 113 Nassau Street, 2002

NYC 9/11 Public Portal Document

VVTC Visual Siirvpv Fnrrn

Premise Address:

Block: Residential D Commerc Name of Building: 4c Lot: Mix Use ❑ Other ❑ # of Stories: AKA's: Building Owner/Management: Telephone Number. ( ) 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 ❑ No Locations: ACM Clean Up ❑ 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 Vsible/Fine Layer ❑'/ to 1" ❑ > 1" South ❑ N/A ❑ Yes ❑.No ❑ No Visible/Fine Layer '/2 to 1" ❑ > 1" East ❑ N/A Yes ❑ No ❑ No Visible/Fine Layer ,, /z to 1" ❑ > 1" West ❑ N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer ❑ % to 1" 0>1' Facade Description:

Roof //o

Debris: ❑ No Visible /Fine Layer ❑'/ to 1" ❑ > 1" Description:

Setbacks N/A ❑ Floor: Debris: ❑ No Visible/Fine Layer ❑'/2 to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer ❑'/2 to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer ❑'/2 to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer ❑'/2 to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer ❑'/2 to 1" ❑ > 1" Comments

Date: / a /2002 Inspection by: Name: (. /`I t` L.- Agency: Name: Agency:

NYC-WTC 000099144