WTC Facade Inspection Form, 75-85 Wall Street

NYC 9/11 Public Portal Document

WTC Visual Survey Form I 000Co Premise Address: -. gS QQ I 0'$sq Block: 3 Residential 0 Commercia Name of Building: Lot: t Mix Use J Otherjj 0 # of Stories: AKA's: io - I t (o E12 S1 V , -152- P- I p Sr Building Owner/Management Telephone Number. ( ) Name: C'6 LV 0 FAX: Address: On Site Cont4c~t Name: 1ci CJ'L_ 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 J Yes

Visual Inspection Results: Facade: Inspected Debris North ❑ N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer ❑:4to 1 D>1 South ❑ N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer ❑ % to 1' D>1 East ❑ N/A ❑ Yes D No ❑ No Visible/Fine Layer ❑'% to l' D>1 West ❑ N/A ❑ Ye ❑ No O No Vsible/Fine Layer ❑ % to 1' 0>1• Facade Description: /, 1)

Roof

Debris: No Visible /Fine Layer L] % to? ❑ >V Description:

Setbacks N/Aa Floor. Debris: 0 No Visible/Fine Layer D % to 1' 1J> 1' Floor. Debris: ❑ No Visible/FineFine Layer ❑ % to? ❑ > 1' Floor. Debris: ❑ No Visible/Fine Layer ❑ % to 1' ❑ > 1' Floor. Debris: ❑ No Visible/Fine Layer 0 % to 1' ❑ > 1' Floor. Debris: 0 No Visible/Fine Layer ❑ % to V ❑ > 1' Comments

•1.._ Date: 4 I- 12p02 Inspection Team: Name: Name: ___ _ Agency: Agency: q r r•

NYC-WTC 000112614