WTC debris inspection form, 88 Nassau Street

NYC 9/11 Public Portal Document

WTC Visual Survey Form 10012.42 Premise A r

Block. esidential Commercial Name of Building: Lot: Mix Use ❑ Other # of Stories: AKA's: Building Owner/Management: Tel hone Number: Name: FAX: ) Address: On Site Contact: Name: Telephone Number: Building Owner Management Activities Interior Survey Performed ❑ Yes 0 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 IW Visual Inspection Results: Facade: Inspected Debris North ❑ N/A ❑ Yes ❑ No No Visible/Fine Layer ❑ 1/ to 1" 0>1" South ❑ N/A ❑ Yes ❑ No E No Visible/Fine Layer ❑ Y2 to 1" ❑ > 1" East ❑ N/A ❑ Yes ❑ No No Visible/Fine Layer ❑ /2 to 1" ❑ > 1" West ❑ N/A ❑ Yes ❑ No No Visible/Fine Layer ❑ % to 1" ❑ > 1"

Roof

Debris: [INo Visible /Fine Layer ❑/2to1" 0>1" Description:

Setbacks N/A ❑ Floor: Debris: ❑ No Visible/Fine Layer ❑'/ to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer ❑ % to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer ❑'/ to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer ❑'/ to 1" ❑ > I" Floor. Debris: ❑ No Visible/Fine Layer ❑ % to 1" ❑ > 1"

Comments

Date: y/ I /2002 Inspection by: Name: ( „ 1+,' ' Agency: Name: Agency:

NYC-WTC 000099243