Document label, 56 Pine Street

NYC 9/11 Public Portal Document

I WTC Visual Survey Form Premise Address: 56 N c- T Block: Residential Commercial J Name of Building: Lot: Mix Use Other # of Storles 2. AKA's: Buildinga►~p er ana ement: Telephone Number: ( ) Name: (..0 ~ -~ FAX: Address: On Site Cont4ct g -, Name: %&v% Telephone Number: A z '13 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 0% to 1" ❑ > 1" South ❑ N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer ❑ h to 1" > 1" East ❑ NIA ❑ Yes ❑ No ❑ No Visible/Fine Layer ❑ % to? g > 1" West ❑ N/A ❑ Yes 0 No ❑ No Visible/Fine Layer ❑ h to? ❑ > 1" Facade Description:

Roof

Debris: ro Visible /Fine layer ❑ % to 1" ' ❑ > 1" Description:

Setbacks N/A ❑ Floor. Debris: ❑ No Visible/Fine Layer ❑ 4 to 1" ❑ > 1" Floor. Debris: ❑ No Visible/Fine Layer ❑ % to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer ❑ Y= to 1" ❑ > 1" Floor. Debris: ❑ No Visible/Fine Layer ❑ % to 1" ❑ > 1" Floor. Debris: ❑ No Visible/Fine Layer ❑ 4 to 1" ❑> V Comments ~l r~ h c~`•P km

Date: y 1' 12002 Inspection Team: Name: "" ~- Agency: Name: Agency: IE NTERE M

NYC-WTC-000114861