WTC debris inspection form for 49 Nassau Street facade

NYC 9/11 Public Portal Document

WTC Visual Survey Form t OOIOa3 Premise Address: y 1q Na SSa Block: (D ResidentialD CommercialD Name of Building: Lot: '] Mix Use D 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 ❑ Yes ❑ No ❑ No Vsible/Fine Layer Y to 1" [J>1" South ❑ N/A ❑ Yes [] No ❑ No Visible/Fine Layer % to 1" 0>1" East ❑ N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer % to 1" 0>1" West ❑ N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer '/ to 1" 0> 1" Facade Description:

Roof

Debris: •o Visible /Fine Layer / to 1" [3 >1" Description:

Setbacks N/A ❑ Floor: Debris: ❑ No Visible/Fine Layer 0 V to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer ❑ % to 1" ❑ > 1" Floor. Debris: ❑ No Visible/Fine Layer ❑ % to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer ❑ V to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer ❑ % to 1" ❑ > 1" Comments

Date: Inspection by: Name: 14 P Agency: DP Name: Agency:

NYC-WTC 000099782