WTC Building Inspection Form, 83 Nassau Street, 2002

NYC 9/11 Public Portal Document

r WTC Visual Survey Form 100 I-24 3 Premise Address: -

Block: 1C? Residential 0 Commercial 0 Name of Building: Lot: Mix Use ❑ 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 LI Yes

visual Inspection Kesuits: Facade: Inspected Debris North ❑ N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer ❑'/ to 1" South ❑ N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer ❑ % to 1" East ❑ N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer ❑ %2 to 1" West ❑ N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer ❑ / to 1" Facade Description: Pjnti.; L ct •bV ch

Roof ~sr Debris: ❑ No Visible /Fine taxer Description: .

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

I Comments

Date: _/ 2_2002 Inspection Team: Name: - rt_-- Agency: Name: Agency:

NYC-WTC 000100669