WTC inspection form, 80 Gold Street, 2002

NYC 9/11 Public Portal Document

WTC Visual Survey Form IO8 2 Premise Address: 5-~• 7Z)£-7vxJ S7" C Block: 9 L Residential D Commercial Name of Building: Lot: % Mix Use ❑ Other D # of Stories: AKA's: Building Owner/Management: Telephone Number ( ) Name: FAX: Address: On Site Contact: ---------------------------------------------------- Name: PII Telephone Number: ' P11 Building Owner ManagementActivi!t]es ---------------------------------------------------------- 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 JNo Locations: Copies of All Reports and Data Requested f Yes

visual tnsDectaon Results: Facade: Inspected Debris North ❑ N/A JE Yes ❑ No gNo Visible/Finetayer ❑Y2to 1" ❑> 1" South ❑ N/A ®'Yes ❑ No No Visible/Fine-Layer ❑'/ztol" ❑>1" East ❑ N/A fYes ❑ No No Visible/Finekayer ❑Y2to l" O>1" West '® N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer ❑/z to l" ❑>1" Facade Description:

Roof

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

Setbacks NIA Floor: Debris: ❑ No Visible/Fine Layer O V to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer ❑ % to 1" [1> 1" Floor: Debris: ❑ No Visible/Fine Layer ❑ % 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: R- -" lt`''" Agency: •LEp Name: Agency:

NYC-WTC 000128165