WTC visual survey form, 89 South Street, Oct 2001

NYC 9/11 Public Portal Document

WTC Visual Survey Form 135/i 9q!' a Premise Address: .3 .~-- . t~ c -_ 1r Block: Residential 0 Commercial 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 Yes No Exterior Survey Performed Yes No General Clean UP Yes No Locations: ACM Clean Up Yes No Locations: Air Monitoring 9 Yes 0 No Locations: Copies of All Reports and Data Requested Yes Visual Inspection Results: Facade: Inspected Debris North N/A Yes No No Visible/Fine Layer % to 1" > 1" South N/A Yes No No Visible/Fine Layer % to 1" > 1" East N/A Yes No No Visible/Fine Layer 34 to 1" >1' West []NIA Yes No No Visible/Fine Layer 34 to 1" > 1" Facade Description: , n

Roof Debris: No Visible !Fine Layer 934 to V 9> 1" Description:

Setbacks N/A jJ Floor.___ Debris: No Visible/Fine Layer 34 to 1' >1' Floor:__ Debris: No Visible/Fine Layer % to 1" > 1" Floor____ Debris: No Visible/Fine Layer 34 to 1" > 1" Floor____ Debris: No Visible/Fine Layer % to 1" >1W Floor.___ Debris: No Visible/Fine Layer 34 to 1" > 1" Comments

Date: / t2OO2J Inspection Team: Name: Agency: Name: Agency:

NYC-WTC-000117108