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WTC debris inspection form, 90 Washington Street, Oct 2002

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Form for recording building details and inspection results for WTC debris on facades.

NYC-WTC_000113542–000113543

Folder label: “90 WASHINGTON STREET; 1000793, 17/29

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NYC 9/11 Public Portal Document

VVTC Visual Survey Form . $ 00 O7 Q3 Premise Address: . 9D A w~~ TOw %o r •r Block: ii ResidentialD CommercialEj Name of Building: Lot: Mix Use Other # of Stories: AKA's: t . U)C 1 ECt OA► S'I jILT Building Owner/Management: Telephone Number: il~ 0 ( t t Name: I-e IR ~ . & V%. ,FAX: 'jlt (Z~~) Q7 ie Address: 1. p O On Site Contact. Name: ' - Telephone Number: Building Owner Management Activities Interior Survey Performed ❑ Yes 0 No Exterior Survey Performed ❑ Yes ❑ No General Clean Up ❑ Yes [] No Locations: ACM Clean Up ❑ Yes ❑ No Locations: Air Monitoring L] Yes 0 No Locations: Copies of All Reports and Data Requested fl Yes

visuai enspecuon Rezuiiz: Facade: Inspected Debris North L] N/A ® Yes 0 No ® No Visible/Fine Layer 9½1o1' ❑> 1". South ❑ N/A Q Yes D No No Visible/Fine Layer Q % to 1' ❑ > 1' East ON/A DYesDNo No Visible/Fine Layer D Y2 to 1 E]>116 West ❑ N/A 8 Yes[] No No Visible/Fine Layer 034to1' 9>1' Facade Description:

Roof

Debris: ENo Visible /Fine Layer 10%to 1' , 9>1' Description: E1.0%1 CO0 i

Setbacks N/A9 -. Floor., Debris: D No Visible/Fine Layer ® 34 to? ❑ > 1' Floor. Debris: ❑ No Visible/Fine Layer D4 to 1' ❑ > 1' Floor____ Debris: [] No Visible/Fine Layer ❑ % to 1' ❑ > 1' Floor. Debris: [] No Visible/Fine Layer ❑ 34 to 1' 9> 1' Floor. Debris: 0 No Visible/Fine Layer 0 % to 1' 9> 1' Comments if .QAy . Scar Ae elw 1% LOO(

Date: J9j 4512002 Inspection Team: Name: IRA" µw.N Agency: Name: Agency: ENTER

NYC-WTC 000113543

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NYC-WTC_000113543Source: NYC Law Department, mirrored locally

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