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:

Block: Reside tiai 0 Commercial Name of Building: Lot Mix UseD Other # of Stories: AKA's: Bullding ner/MMarlagement 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 Yes No Locations: Air Monitoring Yes Q No Locations: Copies of All Reports and Data Requested pvi5

Visual Insoection Results: Facade: Inspected Debris North [] N/A fJYes Q No 9 No Visible/Fine Layer 934 to 1' 0>1' 0>11 South N/A Yes 9 No No Visible/Fine Layer 034 to 1' East N/A Yes =j No No Visible/Fine Layer 036 to 1' 0>1' West N/A Yes 8 No No Visible/Fine Layer 036 to 1' 0>1' Facade Description: l' () %

Roof Debris: (No Visible /Fine Layer .[] a to? 9>1' Description:

Setbacks N/A{ Floor_ . Debris: No Visible/Fine Layer 34 to 1' 0>1' Floor:___ Debris: No Visible/Fine Layer 14 to V >1' Floor:__ Debris: No Visible/Fine Layer % to 1' >1' Floor:____ Debris: No Visible/Fine Layer 14 to 1' >1' Floor.___ Debris: No Visible/Fine Layer % to i' '1'

Comments

Gate: (1_12002 Inspection Team: Name: Agency: Name: Agency:

NYC-WTC 000117098