WTC debris inspection form, 86 Nassau Street

NYC 9/11 Public Portal Document WTU visual survey Form Premise Address: 6 hb SSAU Siia Y Block: -re Residential 0 Commercials Name of Building: Lot: 40 Mix UseD Other # of Stories: A AKA's: Building Owner/Management: 095 Telephone Number: fr f2 ) 9C.3 -c24 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 J Yes

visual inspeciwn me5uwt5; Facade: Inspected Debris North N/A Yes ❑ No ❑ No Visible/Fine Layer 0Y2to1" 0>1" South N/A Yes ❑ No ❑ No Visible/Fine Layer ❑'%to l" 0>1" East N/A JYes ❑ No ❑ No Visible/Fine Layer '/% to 1" 0>10 West ❑ N/A Yes ❑ No ❑ No Visible/Fine Layer %ato1" 0>1" Facade Description: -D 'is St ua or Wt~DOUi L€'T

Roof

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

Setbacks N/AA Floor. Debris: ❑ No Visible/Fine Layer ❑'/a to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer ❑'/a to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer ❑ Ya to 1" ❑ > 10 Floor: Debris: ❑ No Visible/Fine Layer ❑ h to 1' ❑ > 10 Floor: Debris: ❑ No Visible/Fine Layer ❑ a to 1" ❑ > 1"

Comments

Date: a / tai /2002 Inspection Team: Name: A / A020 Agency: Nye [P Name: Agency:

NYC-WTC 000099339