WTC visual survey form, 89 South Street, Oct 2001

NYC 9/11 Public Portal Document

WTC Visual Survey Form .J' remise Address: y

Block: Residential Commercial Name of Building: Lot Mix UseD OtherjJ a of Stories: AKA's: Building Ow er/Management Telephone Number. ( ) Name• Gt ~vv~C, 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 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 M to 1' > 1' East N/A Yes No No Visible/Fine Layer 34 to? > 1" West N/A Yes No No Visible/Fine Layer % to 1" > 1' Facade Description: n n _ 0

Roof Debris: 6fo Visible /Fine Layer L]34 to V L] > 1' Description:

Setbacks WAJ Floor Debris: No Visible/Fine Layer 34 to 1' > 1' Floor Debris: No Visible/Fine Layer 34 to1' >1' Floor.____ Debris: No Visible/Fine Layer 34 to 1' > 1' Floor.____ No Visible/Fine Layer 34 to 1" >1' Floor:___ Debris: No Visible/Fine Layer 34 to 1' >1' Comments

Gate: 1 4 4bO2 Inspection Team: Name: Agency: Name: Agency- ENTE> E

NYC-WTC-000117112