WTC inspection form, 80 Gold Street, 2002

NYC 9/11 Public Portal Document

WTC Visual Survey Form 1081151. Premise Address:

Block: 914 Residential Commercial I Name of Building: Lot: 1 Mix Use ❑ Other ❑ I 7G©c&~i2 # of Stories: AKA's: Building Owner/Management: Telephone Number ( ) Name: FAX: Address: On Site Contact: Name: G,S Cit cva. a a Telephone Number: (2./2.-) 71/ — Building Owner Management Activities Interior Survey Performed ❑ Yes ❑ No Exterior Survey Performed ❑ Yes ❑ No General Clean Up R Yes ❑ No Locations: ACM Clean Up ❑ Yes,® No Locations: Air Monitoring ❑ Yes JNo Locations: Copies of All Reports and Data Requested Yes

visual InsDecvon Kesuits: Facade: Inspected Debris North ❑ N/A 0 Yes ❑ No MNo Visible/Finetayer ❑%tol" ❑>1" South ❑ N/A ®'Yes ❑ No No Visible/Fine-layer ❑%to 1" 0>1" East ❑ N/A fYes ❑ No No Visible/ inc Layer 0%t01" 0>1" West '® N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer ❑Y2tol" 0>1" Facade Description:

Roof

Debris: ❑ r h/2 to 1" ❑> 1" Description:

Setbacks NIA Floor: Debris: ❑ No VSible/Fine Layer 0 V to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer ❑ % to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer ❑ V to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer ❑ % to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer ❑ % to 1" ❑ > 1"

Comments

Date: 2 - / / 6 /2002 Inspection Team: Name: -"- lt``'" Agency: p Name: Agency:

NYC-WTC 000128165