Facade inspection form, 99 Washington Street, undated

NYC 9/11 Public Portal Document

WTC Visual Survey Form CH W a s „ j Premise Address: /

Block: C 3 Residential D Commerci I J Name of Building: (~ Lot: 2 Mix UseD Other # of Stories: AKA's: Building Owner anagement: Telephone Number: ( ) Name: FAX: Address: On Site Contact: Name: • ' Telephone Number: Building Owner Management Activities Interior Survey Performed ❑ Yes [] No Exterior Survey Performed Q Yes ❑ No General Clean Up Q Yes Q 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 Q N/A ❑ Yes Q No ❑ No Visible/Fine Layer 0%to 1" 0>1" South ❑ N/A JZ Yes ❑ No No Visible/Fine Layer ❑ 1/2 to l" 0>1" East ❑ N/A 1 -Yes ❑ No No Visible/Fine Layer ❑%to 1" 0>1" West ❑ N/A ['Yes ❑ No o Visible/Fine Layer ❑%2to 1" 0>1" Facade Description:

Roof

Debris: ❑ No Visible /Fine Layer 0% to 1" D> 1" Description:

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

Comments

Date: Inspection Team: Name: Agency: Name: Agency:

NYC-WTC 000113423