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

NYC 9/11 Public Portal Document

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57 $ WTC Visual Survev Form Premise Address:

Block: 7 if Residential 0 Commercial J Name of Building: Lot: J Mix Use J Other # of Stories: AKA's: Building Owner/Management Telephone Number. ( ) Name: FAX: Address: On Site Contact: Name: " " Telephone Number. Building Owner Management Activities Interior Survey Performed Q Yes Q No Exterior Survey Performed ❑ Yes ❑ No General Clean Up ❑ Yes Q No Locations: ACM Clean Up Q Yes Q No Locations: Air Monitoring ❑YesQ No Locations: Copies of All Reports and Data Requested Yes Visual Inspection Results: Facade: Inspected Debris North Q N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer ❑'rs to 1' ❑ > 1" South ❑,__, ~ ❑ No N isible/Fine Layer [~ % to 1" ❑ > 1' East /A by,Yes Q No o Visible/Fine Layer ❑ % to? West ❑ N/A [] Yes No No Visible/Fine layer ❑36 to 1" [3>? Facade Description: - _

Roof

Debris: j] No

:ks N/A❑ Floor. Debris: ❑ No Visible/Fine Layer 34 to? 0>1' Floor: Debris:(] No Visible/Fine Layer ' to? > 1' Floor. Debris: 0 No Visible/Fine Layer 1/: to? > 1" Floor. Debris: No Visible/Fine Layer /2 to 1" > 1' Floor. Debris: No Visible/Fine Layer [3 3: to? > 1'

Date: /:12002 inspection Team: Name: Agency: Name: / —Agency:

NYC-WTC 000117042