WTC environmental inspection form, 80 West Street

NYC 9/11 Public Portal Document

WTC Visual Survey Form Premise Address:

Block: 55 Residential 0 Commercial D Name of Bu' ing;,- Lot: Mix Use Ej Other J l Vl tvv. t ' . .. # of Stories: 1 AKA's: (n ~v ~,• c. E Building Owner/ nagement: T lephone Number: (2 i-i. ) A Name: U1: — X: ( 6► s Address: I On Site Contact: Name: ' ~" ~v ( Telephone Number: ~-- ~ Building Owner Management Activities Interior Survey Performed aYes ❑ No Exterior Survey Performed Q-Yes ❑ No General Clean Up QYes ❑ No Locations: ACM Clean Up Yes ❑ No Locations: Air Monitoring es ❑ No Locations: Copies of All Reports and Data Re nested Yes

Visual Inspection Results: Facade: Inspected Debris North ❑ N/A Yes ❑ No ' No Visible/Fine Layer ❑'/a to 1" ❑ > 1" South ❑ N/A s❑No o Visible/Fine Layer ❑'/a to 1" ❑ > 1" East ❑ N/A Yes ❑ No Visible/Fine Layer ❑'/ to 1" ❑ > 1" West ❑ N/A [Yes❑No o Visible/Fine Layer ❑ % to 1" ❑ > 1" Facade Description:

Roof

Debris: No Visibl /Fine Layer ❑'/:xo "/~ ❑ > 1" Description: Z, .1 -i .; U

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

Comments

Date: /r /2002 Inspection Team: Name:( (1 Agency: Name: Agency:

NYC-WTC 000110065