77 MURRAY ST 1001423, 132/7

NYC 9/11 Public Portal Document

WTC Visual Survey Form Premise Address: 77 fi viZ Block: Residential 0 Commercial 0 Name of Building: Mix Use ❑ Other ❑ SA3 ; WCS > SL.8S;a~ ~►t Lot: # of Stories: AKA's: Building Owner/Management: Telephone Number: ( ) Name: I` C' 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 0 Yes ❑ No Locations: Copies of All Reports and Data Requested 0 Yes

Visual Inspection Kesutis: Facade: Inspected Debris North ❑ N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer ❑ to 1" Y2 [1> 1" ❑ No Visible/Fine Layer Y2 to 1" 0>1" South E N/A 0 Yes ❑ No J ❑ N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer ❑ Y2 to 1" 0>1" East West ❑ N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer ❑ Y2 to 1" 0>1" Facade Description:

Roof

Debris: ❑ No Visible /Fine Layer ❑ /2 to 1" 0>1" Description: t\ f -~i it 1-tin ~nil

Setbacks N/A Floor: Debris: ❑ No Visible/Fine Layer ❑ % to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer ❑'% to 1" ❑ > 1" Floor: Debris: 0 No Visible/Fine Layer ❑ % to 1" ❑ > I" Floor: Debris: ❑ No Visible/Fine Layer ❑ % to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer ❑ % to 1" ❑ > 1"

Comments 1 175 ~-cc.tr'~S

Date: ()/ //2002 Inspection Team: Name: '11 - Agency: Name: ki r\+R-L t< Agency: 4kW

NYC-WTC 000099705