Property query form, 96 Trinity Place, January 2002

NYC 9/11 Public Portal Document

WTC Visual Survey Form •Premise Address: ` i Lv \/ I Block: Residential D Commercial IJ kiame o Bull. ing: Lot: Mix Use Other # of Stones: AKA's: r, n

Building Own anagement: elephone Number: ( ) Name: e, G FAX: Address: On Site Contact: Name: Telephone Number: Building Owner Management Activities Interior Survey Performed 'es ❑ No Exterior Survey Performed [Yes ❑ No Genesbi Clean Up j2,Yes ❑ No Locations: ACM Clean Up Yes.B,No Locations: Air Monitoring Yes ❑ No Locations: Copies of All Reports and Data Re uested Yes

Visual Inspection Results: Facade: Inspected Debris North N/A Yes ❑ No No Visible/Fine Layer ❑ % to 1" ❑ > 1" South N/A Yes ❑ No ØNo Visible/Fine Layer ❑ % to 1" ❑ > 1" East N/A I J Yes ❑ No 3No Visible/Fine Layer ❑ % to 1" ❑ > 1" West tl N/A UJ,Yes ❑ No o Visible/Fine Layer ❑ % to 1" ❑ > 1" Facade Descr ption:

Roof

Debris: ❑ No Visible/fine Layer % to 1" Description: c:r'— O

Setbacks N/A ❑ Floor: Debris: ❑ No Visible/Fine Layer ❑ Y2 to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer 0'/2 to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer ❑ Y2 to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer ❑ /2 to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer ❑ % to 1" ❑ > 1"

Comments

Date: I -' /2002 Inspection Team: Name: '- T U Agency: "- ) Name: Agency:

NYC-WTC-000116724