81 MURRAY ST 1001424, 1001424, 132/9

NYC 9/11 Public Portal Document

WTC Visual Survey Form Premise Address:

Block: Residential 0 Commercial D Name of Building: Lot: Mix Use ❑ Other ❑ # of Stories: AKA's: Building Owner/Menag1Tflt Telephone Number: ( -2iz) Name: ccwt44 A 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 (A Yes ❑ No Locations: ACM Clean Up ❑ Yes E No Locations: Air Monitoring ❑ Yes ❑X No Locations: Copies of All Reports and Data Requested 0 Yes

Visual Inspection Results: Facade: Inspected Debris North ❑ N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer ❑ Va to 1" ❑ > 1" South ❑ N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer ❑ % to 1" ❑ > 1" East ❑ N/A ❑ Yes 0 No ❑ No Visible/Fine Layer D to 1" ❑ > 1" West ❑ N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer ❑ Va to 1" ❑ > 1" Facade Description:

Roof

Debris: ❑ o Visible /Fine Layer ©'h to 1" Description: rC 13t oLu t t L-flu ?r^L-i r)

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

Comments n

Date: Cl / L /2002 Inspection Team: Name: Agency: Name: Agency: QzW B NYC-WTC 000099718