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

NYC 9/11 Public Portal Document

•` I I1O3 WTC Visual Survey Form PEW ise Address: , --

Block: 74 Residential D Commercial J J Name of Building: Lot: - Mix UseD 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 9 Yes ❑ No Exterior Survey PerformedjJ Yes 0 No General Clean Up ❑ Yes 0 No Locations: ACM Clean Up ❑ Yes 0 No Locations: Air Monitoring 0 Yes ❑ No Locations: Copies of All Reports and Data Requested p Yes

Visual Inspection Results: Facade: Inspected Debris North ❑ N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer 9 4 to 1" South Q A ❑ Yes j] No ❑ No Visible/Fine Layer j] % to 1" East Des ❑ No B isible/Fine Layer ❑'/ to 1" West ~s 0 No o Visible/Fine Layer ❑ Ya to 1" Fal e ~D~ / 1 ' ► f .t,c

Roof

Debris: No /Fine .►_~1 I MM Setbacks N/A ❑ Floor. Debris:D No Visible/Fine Layer D % to 1" ❑ > 1" Floor. Debris: ❑ No Visible/Fine Layer ❑ % to 1" > 1" Floor. Debris: ❑ No Visible/Fine Layer a to 1" B >1" Floor. Debris: ❑ No Visible/Fine Layer % to 1" 0> 1" Floor. Debris: [] No Visible/Fine Layer '/s to 1" 0> 1"

Date: / 12002 Inspection Team: Name: Agency: c ENTERED Name: Agency: 9j_,

NYC-WTC-000117076