WTC debris inspection form, 88 Nassau Street

NYC 9/11 Public Portal Document

WTC Visual Survey Form # 100120 `t Premisu Address:

Block: 78 g 9 N(33saw Residential J Commercial D +reeE Name of Building: Lot: y 2 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 J Yes Visual Inspection Results: Facade: Inspected Debris North ❑ N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer fl % to I" ❑ > 1" South ❑ N/A ❑ Yes ❑ No El No Visible/Fine Layer % to 1" ❑ > 1" East ❑ N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer % to 1" ❑ > 1" West ❑ N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer Y2 to 1" ❑ > 1" Facade Description:

Roof

Debris: ❑ No Visible /Fine Layer N/2 to 1" ❑ > 1" Description:

Setbacks N/A ❑ Floor: Debris: ❑ No Visible/Fine Layer ❑'/2 to 1" [1> 1" Floor: Debris: ❑ No Visible/Fine Layer ❑ %% to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer El 1/2 to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer 9'/2 to 1" n> 1" Floor: Debris: ❑ No Visible/Fine Layer ❑ Y2 to 1" ❑ > 1" Comments

Date: c) / orb 12002 Inspection by: Name: Agency: D I~ Name: Agency:

NYC-WTC 000099274