WTC environmental inspection form for 55 Nassau Street, 2002

NYC 9/11 Public Portal Document

WTC Visual Survey Form Premise Address: r 5 Block: Lot: Residential d Commercia Mix Use 0 Other Name of Building:

# of Stories: AKA's: Building Owner anagement: 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 D Yes

Visual Inspection Results: Facade: Inspected Debris North ❑ N/A , esDNo -< 'No Visible/Fine Layer ❑Y2to1" ❑>1" South ❑ N/A ❑Yes❑No ❑ No Visible/Fine Layer ❑%to1" ❑>1" East ❑ N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer ❑%tol" ❑>1" West ❑ N/A xeL❑ No lVo Visible/Fine Layer ❑ Y2 to 1" 0>10 Facade Description:

Roof

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

Setbacks N/A 0 Floor Debris: ❑ No Visible/Fine Layer ❑ Va to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer ❑ Va to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer ❑ %2 to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer ❑V2 to 1' ❑ > 1" Floor. Debris: ❑ No Visible/Fine Layer ❑ Va to 1' ❑ > 1" Comments

Date: / /2002 Inspection Team: Name: Agency: T Name: Agency:

NYC-WTC 000099843