Facade inspection form, 82 Washington Street, undated

NYC 9/11 Public Portal Document

WTC Visual Survey Form Premise Address: ; ~ 1~~ ` I ~\ , - _ v) Block: RsidentialD Commercial J Nam of Building: Lot: Mix UseD Other ;N ~` •.r # 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 I Yes

Visual Inspection Results: Facade: Inspected Debris North UN/A Yes ❑ No No Visible/Fine Layer ❑Y2 to 1" 0>1" South /A Yes ❑ No ❑ No Visible/Fine Layer ❑'/2to1" 0>1" East ❑ N/A -E Yes ❑ No Lo Visible/Fine Layer ❑'/to1" 0>1" West /A ,Yes ❑ No filo Visible/Fine Layer ❑Y2to1" 0>1" Facade Descriptibc

Roof

Debris: ❑ No Visible /Fine Layer ❑ % to 1" ❑ > 1" Description:

Setbacks N/A ❑ Floor: Debris: ❑ No VSible/Fine Layer ❑'/ to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer ❑ Y2 to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer ❑ Y2 to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer ❑'/ to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer ❑'/ to 1" ❑ > 1" Comments

Date: I I ' y /2002 Inspection Team: Name: Agency: V l ` Name: Agency:

NYC-WTC 000113415