Building inspection form for 99 Maiden Lane, 2002

NYC 9/11 Public Portal Document

WTC Visual Survey Form 10of i23 i i mise Address: cjq f c & deh Larne . Block: Lot: I 9 Residential 0 CommercialD Mix Use I J Other Name of Building:

# 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 fl Yes

Visual Inspection Results: Facade: Inspected Debris North ❑ N/A 0 Yes ❑ No No-Visible/Fine Layer ❑ Ya to I" 0>1" South ❑ N/A ® Yes ❑ No Ne-Visible/Fine Layer ❑ Ya to 1" ❑>1" East [3 N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer ❑ % to 1'" ❑>1" West Eg N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer ❑ Ya to 1" 0>1" Facade Description:

Roof

Debris: No Visible /Fine Layer ❑ Va to 1" ❑ > 1" Description: reed - ', , to 1 Mu.id-e Ldw►e,

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

Comments

Date: 2 /x/2002 Inspection Team: Name: fk pp Agency: bef Name: Agency:

NYC-WTC 000099952