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

NYC 9/11 Public Portal Document

jDgqqq WTC Visual Survey Form Premise Address: >, Block: , Residential D Comme Name of Building: Lot: Mix Use Othe # of S ories: AKAs:Iy.I1 cssu,.ust A.► } Building Owner/Management Telephone Number: ( ) IT 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 ❑YesQ No Locations: Air Monitoring ❑ Yes LJ No Locations: Copies of All Reports and Data Requested DYes

Visual inspection Results: Facade: Inspected Debris North South East ❑ NIA ❑ NI IA ❑ No ❑ No H ~ 98 No 0] No Visible/Fine Layer N Visible/Fine Layer f4o Visible/Fine Layer 934 to 1" ❑ 34to 1" ❑ 34 to 1" j] 9>1" ❑> 1" ❑ > 1" West ❑ N/A 9 Yes D No ❑ No Vsible/Fine Layer 9 34 to 1" 0>1"

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Debris: Ej No (4sibie /Fine).ayer ,, 934,o 1" o ❑ >1 _ // _ _ J

Setbacks NIA ❑ Floor. Debris:[] No Visible/Fine Layer 34 to 1" ❑ > 1" Floor. Debris: No Visible/Fine Layer % to 1" ❑ > 1" Floor. Debris: No Visible/Fine Layer 34 to 1" ❑ > 1" Floor. Debris: ❑ No Visible/FineLayer F] 3410 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer 934101" ❑ > 1" Comments , mow. ~i~ J' nZ

Date: / 12002 Inspection Team: Name: Agency: 6 C- LE E N T E R E Q Name: Agency: ci

NYC-WTC- 000117058