WTC visual survey form, 89 South Street, Oct 2001

NYC 9/11 Public Portal Document WTC Visual Survey Form Premise Address: : 4 - lock: Resider ial Co mar a Nam o u lding: Lot: Mix Use Other f! 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 ❑ Yes No Exterior Survey Performed ❑ Yes B No General Clean Up ❑ Yes Q No Locations: ACM Clean Up 0 Yes [] No Locations: Air Monitoring ❑ 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 ❑%tol" 0>1' South ❑ N/A HYesoNo No Visible/Fine Layer 034t01" 0>1" East ❑ NIA ❑Yes No ❑ No Visible/Fine Layer D36to1" 0>1" West T N/A J~J Yes O No "No Vsible/Fine+oyer %: to 1" D>1" Facade Description:

Roof

Debris: ❑ No Visible /Fine Layer ❑ % to 1" 0>1" Description: ML> 1 ZEc Setbacks N/A Floor Debris: No Visible/Fine Layer ❑ % to 1" > 1" Floor. Debris: No Visible/Fine Layer ❑ % to 1" >1" Floor. Debris: No Visible/Fine Layer ❑ 34 to 1" > 1" Floor. Debris:D No Visible/Fine Layer ❑ % to 1" > 1" Floor. Debris: Q No Visible/Fine Layer D 34 to 1" >1" Comments

Date: / G —12002 Inspection Team: Name:_ - . Name: 4 Agency: Agency:

NYC-WTC-000117103