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

NYC 9/11 Public Portal Document

WTC Visual Survav trnrm Premise Address:

Block: ResidentialEl Commercial 0 Name of Building: Lot: Mix UseD Other # of S ories: AKA's: Building Owner/Management Telephone 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 DYes ❑ No Locations: Air Monitoring ❑ Yes ❑ No Locations: Copies of All Reports and Data Requested DYes

Visual Insaection Results: Facade: Inspected Debris North ❑ N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer ❑ 34 to 1" ❑ > 1" South ❑ A ,/ s ❑ No [J Visible/Fine Layer %s to 1" ❑ > 1' East N/A M'Ye s ❑ No No Vsible/Fine Layer 34 to 1" 0>? West ❑ N/A ❑ Yes o ❑ No Visible/Fine Layer ~%tolw ❑ > 1" Facade Description: n I~

Roof

Debris: 01io Description: ❑~.t~to i~-~ ~c~~~ 1i.

Setbacks N/A ❑ v Floor. Debris:[] No Visible/Fine Layer ❑ 4 to 1" 0>? Floor. Debris: No Visible/Fine Layer ❑ 34 to 1 0> 1" Floor. Debris: No Visible/Fine Layer 34 to 1" ❑ > 1" Floor. Debris: ❑ No Visible/Fine Layer 34 to 1" ❑ > 1" Floor. Debris: 0 No Visible/Fine Layer 34 to 1" ❑ > 1"

Date: 1/, /2oc Inspection Team: Name: '-- Agency- /- 4 G 2) tW Name: Agency: '' ENTERED

NYC-WTC- 000117061