DEP letter requesting environmental data for 80 Pine Street

NYC 9/11 Public Portal Document R1

• WTC Visual Survey Form Premise Address:

Block: Residential Commercial Name of Building: Lot: Mix Use Other ❑ # of S ories: 3 AKA's: Building Owner/Management: RLxA. fi P7 Telephone Number: ( ) Name: p> 2 FAX: Address: On Site Contact: Name: " Telephone Number: Building Owner Man Bement Activities Interior Survey Performed ❑ Yes ❑ No Exterior Survey Performed ❑ Yes ❑ No General Clean Up J 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 ❑%2 to 1" ❑> 1" South ❑ N/A ® Yes ❑ No No Visible/Fine Layer ❑%to 1" 0>1" East ❑ N/A ® Yes ❑ No [( No Visible/Fine Layer ❑%to l" [I >1" West ❑ N/A ,®' Yes ❑ No l(No Visible/Fine Layer ❑'/to1" ❑>1" Facade Description:

I Roof

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

Setbacks N/A Floor. 23 Debris: (3No Visible/Fine-Layer I-]% to 1" 0>1" Floor: 9_I Debris: B No Visible lzayet ❑ % 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: 2— I / b /2002 Inspection Team: Name: Q? H Agency: DC -P, Name: Agency:

NYC-WTC-000114945