WTC facade inspection form, 89 South Street, Block 74 Lot

NYC 9/11 Public Portal Document

10~~~9g WTC Visual Survey Form Premise dd

Block: 4 Residential Commercial Name of Building: Lot Mix Use Other!]to t ib 93 $'lii" # of Stories: AKA's -to C .1aI W y "wf 0it e'V Building Owner/Management Telephohe Number. ( ) Name: FAX:( Address: On Site Contact Name: Telephone Number: 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 Yes

Visual inspection Results: Facade: Inspected Debris North ❑ N/A ❑ Yes ❑ No No Vsible/Fine Layer ❑'14to 1" > 1" South ❑ N/A [j Yq&0 No HVisible/Fine Layer ❑ 34 to 1' 0> 1" East [ZN/A [des[] No rNo Visible/Fine Layer a h to 1" >1' West [] N/A D Yes ❑ No Visible/Fine Layer ❑ 34 to 1" >1' Facade Description: M , - // / Q

Roof

Debris: 0 No L]14to 1" ❑>1" Description:

Setbacks NIA ❑ Floor. Debris: Q No Visible/Fine Layer g % to? ❑ >V Floor. Debris: (~ No Visible/Fine Layer % to? Floor. Debris: 0 No Visible/Fine Layer % to? >1 "

Floor. Debris: ❑ No Visible/Fine Layer g % to? > 1" Floor. Debris: ❑ No Vsible/Fine Layer ❑ % to 1" > 1. Comments

Date: 1/ 2 Inspection Team: Name: Agency: 1 Name: ncy: }fe

NYC-WTC 000117039