Site identification record, 80 Pearl Street

NYC 9/11 Public Portal Document

WTC Visual Survey Form l oOO R5q/ lab Address: to a Block: d Residential 0 Commercialfl Name of Building: Lot: Mix Usefl Other # of ories: AKA's: Building Owner/Management Telephone Number. ( ) Name: rti 1 FAX: Address: On Site Contact: Name: Vc,_ 6~v~)Telephone Number. Building Owner Managójient Activ es 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 9 Yes

Visual InsDection Results: Facade: Inspected Debris North [] N/A ❑ YesQNo ❑ No Visible/Fine Layer [] 4 to 1 " 9>1' South ❑ N/A ❑ YesQNo ❑ No Visible/Fine Layer ❑ % to 1' 0>1" East ❑ N/A ❑ Yes 9 No ❑ No Visible/Fine Layer Q'/ to 1" 0>1' West ❑ N/A D Yes 9 No ❑ No Visible/Fine Layer D 6to1" 0>1" Facade Description: A

Roof Debris: No Visible !Fine Layer 034 to 1" 0> 1" Description:

Setbacks N/A Floor. Debris:D No Visible/Fine Layer [] % to 1" 0>10 Floor____ Debris: 0 No Visible/Fine Layer % to 1" 0>1' Floor. Debris: ❑ No Visible/Fine Layer h to V ❑>1" Floor. Debris: 0No Visible/Fine Layer E] % to 1" D>1' Floor. Debris: ❑ No Visible/Fine Layer F]h to V D>1' Comments

Date: Inspection Team: Name: Agency: Name: Agency: ENTERED NYC-WTC 000115370