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

NYC 9/11 Public Portal Document

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WTC Visual Survey Form Premise Address: t Block: lii Residential Commercial Name of Building: Lot:, Mix Use jJ Other L. # 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 0 No Locations: ACM Clean Up ❑ Yes ❑ No Locations: Air Monitoring ❑ Yes ❑ No Locations: Copies of All Reports and Data Requested DYes

visual inspection KeSultis:

inspected Debris North ❑ N~/ ❑ Y~ ❑ No 0 o Visible/Fine Layer ❑ % to 1" 0>1' South [.Q/A ®'Yes No IisibleIFirie to 1" ❑ > 1' East 0 N/A ❑ Yes H No 0 No Visible/Fine LayerK Layer to 1" ❑ > 1" West O N/A ❑Yes ❑ o ❑ No Visible/Fine Layer ❑ 34 to 1' 0>1' Facade Description: p

I Roof

Debris: ❑ No Visible/Fine Layer ❑ 34 to 1" ❑ >T Description: 4 €-y)

Setbacks N/A ❑ Floor Debris: 0 No Visible/Fine Layer Ys to 1" 0>1' Floor. Debris: j] No Visible/Fine Layer E] 34 to 1 " ❑ > 1" Floor. Debris: ❑ No Visible/Fine Layer ❑ 34 to 1" 0>1' Floor. Debris: No Visible/Fine Layer 34 to T 0:1. 1" Floor. Debris: No Visible/Fine Layer 34 to 1" ❑ > 1"

Date: /(/2002 Inspection Team: Name: k ®9- Agency: Name: Agency: • TF.RED i~ 4

NYC-WTC-000117082