WTC facade inspection form, 90 Maiden Lane, Oct 2001

NYC 9/11 Public Portal Document

WTC Visual Survey Form 10 01 0t&

rernlise Address: --7O ma;.JQ t--e2 Q Block: Residential D Commercial JJ Name of Building: Lot: Mix UseD Other # of Stories: AKA's: Building Owner/Management: Telephone Number. ( ) Name: FAX: Address: On Site Contact Name: 0 Telephone Number. Building Owner Management Activities Interior Survey Performed ❑ Yes ❑ No Exterior Survey Performed ❑ Yes ❑ No General Clean Up BYes ❑ No Locations: ACM Clean Up DYes[] No Locations: Air Monitoring JYes ❑ No Locations: Copies of All Reports and Data Requested J Yes

Visual Inspection Kesults: Facade: Inspected Debris North ❑ N/A Yes ❑ No o Visible/Fine Layer ❑'/to1" ❑>1" ,South N/A Yes ❑ No No Visible/Fine Layer ❑%to1" 0>1" East J N/A D Yes ❑ No ❑ No Visible/Fine Layer ❑%to 1" 0>1" West N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer ❑%to1" ❑>1" Facade Description:

Roof

Debris: ❑%to1" 0>1" Description:

Setbacks N/A ❑ .Floor: Debris: ❑ No Visible/Fine Layer ❑ Y2 to 1" ❑ > 1" Floor. Debris: ❑ No Visible/Fine Layer ❑ % to? ❑ > 1" 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 ❑ Va to 1" ❑ > 1"

Comments

Date: 82 Inspection Team: Name: j+lo Agency:' Name: Agency: 2, j19/~2 NYC-WTC 000102519