WTC inspection form, 80 Gold Street, 2002

NYC 9/11 Public Portal Document

WTC Visual Survey Form 'P iTe Address: o Os I'D c7REEr BtG Z Block: 9 z4 Residential Commercial J J Name of Building: Lot: I Mix Use J Other # of Stories: AKA's: Building Owner/Management:SootA la "75m1 Telephone Number. (2r2) 4-r_ 6t90 Name: Tonj FAX:( Address: On Site Contact Name: "4 'e. ; c- Kk: Telephone Number. Building Owner Manadement Activities Interior Survey Performed ❑ Yes ❑ No Exterior Survey Performed ❑ Yes ❑ No General Clean Up Yes ❑ No Locations: ycwrbys ACM Clean Up ❑ Yes ❑ No Locations: Air Monitoring 12Yes 0 No Locations: y vs Copies of All Reports and Data Reguested Yes

Visual Inspection Results: Facade: Inspected Debris North ❑ N/A Yes ❑ No No Visible/Fine Layer ❑'%to1" ❑>1" South ❑ N/A J'Yes ❑ No No Visible/Fine-taydr ❑to1" ❑>1" East ❑N/A , Yes❑No ® No Visible/Fineyer ❑%to1" ❑>1" West ❑ N/A Q'Yes ❑ No ® No Visible/Fine Layer ❑ % to l" 0>1" Facade Description:

Roof

Debris: No Visible /Fine-Layer ❑ Yz to 1" ❑ > 1" Description:

Setbacks N/A Floor. Debris: ❑ No Visible/Fine Layer ❑'h to 1" ❑ > 1" Floor. Debris: ❑ No Visible/Fine Layer [J 1/2 to 1" ❑ > 1" Floor. Debris: ❑ No Visible/Fine Layer ❑ / to 1" ❑ > 1" Floor. Debris: ❑ No Visible/Fine Layer ❑Y to 1" ❑ > 1" Floor. Debris: 0 No Visible/Fine Layer ❑ % to 1" ❑ > 1"

Comments

Date: Z /x/2002 Inspection Team: Name: R.&G71moh Agency: M1C -DEP. Name: Agency:

NYC-WTC 000128164