WTC debris inspection form, 86 Nassau Street

NYC 9/11 Public Portal Document

WTC Visual Survey Form I D 0(Zc-) I remise Address:

Block: 90 ResidentialD CommercialD Name of Building: Lot: L p 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 DYesDNo ❑ No VisiblefFine Layer ❑ Y2 to 1" ❑ > 1" South ❑ N/A Yes ❑ No ❑ No Visible/Fine Layer ❑ Y2 to 1" ❑ > 1" East ❑ N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer ❑ % to 1" ❑ > 1" West ❑ N/A ❑ Yes ❑ No ❑ No VisiblefFine Layer ❑ Y2 to 1" 0>1" Facade Description•

Roof

Debris: ❑ No Visible /Fine yer ED'/ to 1" .1 a 0>1" Description:

Setbacks N/Ag Floor. Debris: ❑ No Visible/Fine Layer ❑ % to 1" Floor: Debris: ❑ No Visible/Fine Layer 0 % to 1" Floor: Debris: ❑ No Visible/Fine Layer ❑ Ya to 1" Floor: Debris: ❑ No Visible/Fine Layer ❑ Ya to 1" Floor: Debris: ❑ No Visible/Fine Layer ❑ % to 1"

Comments

Date: 3 /x/2002 Inspection Team: Name: Agency: Name: Agency:

NYC-WTC 000099325