WTC debris inspection form, 86 Nassau Street

NYC 9/11 Public Portal Document •! I V v I*U41 •7U1 VCy ruf fll Premise Address: 8G NASSAU S-IEr Block: 70 ResidentialD Commercial Name of Building: Lot: 40 Mix Use Other # of Stories: A AKA's: Building Owner/Management: 1-l8S 89utTIES Telephone Number: fr-iZ ) 963-o24 I 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 Q N/A Yes ❑ No ❑ No Visible/Fine Layer % to 1" ❑ > 1" South N/A Yes Q No ❑ No Visible/Fine Layer ❑ % to 1" ❑ > 1" East 1 N/A Yes ❑ No ❑ No Visible/Fine Layer J'/s% to 1" ❑ > I" West ❑ N/A Yes ❑ No ❑ No Visible/Fine Layer to 1" ❑ > 1" Facade Description: D3- 5 IS►1=3~c oN U31MDoW

Roof

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

Setbacks N/Ag Floor: Debris: Q No Visible/Fine Layer ❑'% to 1" ❑ > 1" Floor Debris: Q No Visible/Fine Layer ❑ % to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer ❑ % to 1" ❑ > 1" Floor. Debris: ❑ No Visible/Fine Layer ❑'/z to 1" ❑ > 1" Floor. Debris: ❑ No Visible/Fine Layer ❑ % to 1" 0> 1" Comments

Date: ©"r / of /2002 Inspection Turn: Name: A / AO20 Agency: NYC OEP Name: Agency:

NYC-WTC 000099338