WTC Facade Inspection Form, 80 Wall Street, 2002

NYC 9/11 Public Portal Document

V WTC Visual Survey Form boo 67' Premtsa Adress: Qf Block: Residential D Commercia1 j Name of Building: Lot: Mix Use 0 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 Yes

Visual Inspection Results: Facade: Inspected Debris North ❑ N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer ❑ i4 to 1' 0>? ❑ N/A ❑Yes ❑ No South East West ❑ N/A ❑N/A ❑ Yes ❑ No ❑~es❑No R No Visible/Fine Layer No Visible/Fine Layer ❑ No Visible/Fine Layer ❑ % to 1' 0>? 11% to 1' 0>? 0%to1' 0>1' Facade Description: () .,, -

Roof

Debris: o Visible /Fine Layer .❑ % to 1' ❑ > 1' Description:

Setbacks WA t ' Floor Debris: [] No Visible/Fine Layer ❑ % to 1' 0>1. Floor____ Debris: ❑ No Visible/Fine Layer ❑ % to 1' ❑ > 1' Floor Debris: ❑ No Visible/Fine Layer ❑ % to 1' ❑ > 1' Floor _ Debris: 0 No Visible/Fine Layer ❑ % to 1' ❑ > 1' Floor Debris: ❑ No Visible/Fine Layer ❑ % to 1' ❑ > 1' Comments tiA

/e

Date: =1 ('Y 12002 Inspection Team: Name: Agency: Name: Agency:

NYC-WTC-000112622