WTC identification label, 89 South Street, Block 74 Lot 1

NYC 9/11 Public Portal Document

y WTC Visual Survev Form remise Address: , FA1L:: -c-- -

Block: Residential 0 Commercial Name of Building: Lot: Mix UseD Other # of Stories: AKA's: Building Owner/Management Telephone Number. ( ) Name: t.1 C 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 Regnested Yas Visual insoection Results: Facade: Inspected Debris North [] NIA DYesDNo No Visible/Fine Layer 34 to 1 ❑ > 1' South N/A Yes No No Visible/Fine Layer 34 to 1' O>1 No Visible/Fine Layer East West N/A NIA Facade Description: Yes No Yes ❑ No No Visible/Fine Layer R °' 34t0 >1' '1'

Root Debris: "O lble /Fine Layer .[3% to 1' 0>? Description:

Setbacks Floor:___ Debris: No Visible/Fine Layer %to 1' '1' Floor:___ Debris: No Visible/Fine Layer 34 to 1' > 1' Floor.____ No Visible/Fine Layer % to 1' > 1' Floor____ Debris: No Visible/Fine Layer 3% to? '1' Floor.___ Debris: No Visible/Fine Layer % to 1' '1' Comments

Date: Inspection Team: Name: Agency: Name: Agency:

NYC-WTC 000117064