37-39 JOHN STREET

NYC 9/11 Public Portal Document

WTC Visual Survey Form . S14'A 1001100 ?'remise Address:

Block: 78 Residential 0 o hvi 54ree+ Commercial f j Name of Building: Lot: 3S Mix Use ❑ Other ❑ # of Stories: AKA's: r7-

NasS5u ' ree 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 ❑ Yes ❑ No Locations: Copies of All Reports and Data Requested ❑ Yes

Visual inspection Kesults: Facade: Inspected bris North ❑ N/A ❑ Yes ❑ No No Visible/Fine Layer 2to 1" ❑ > 1" South ❑ N/A ❑ Yes ❑ No No Visible/Fine Layer /2to 1" 0>1" East ❑ N/A ❑ Yes ❑ No No Visible/Fine Layer / to 1" ❑ > 1" West ❑ N/A ❑ Yes ❑ No No Visible/Fine Layer ½ to 1" ❑ > 1" Facade Description: ns Roof

Debris: Visible /Fine Layer ❑ Y2 to 1" 0>1" Description:

Setbacks N/A ❑ Floor. Debris: ❑ No Visible/Fine Layer ❑'/ to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer El 1/2 to 1" ❑ > 1" Floor. Debris: ❑ No Visible/Fine Layer ❑ '/2 to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer ❑'h to 1" ❑ > 1" Floor. Debris: ❑ No Visible/Fine Layer ❑'/2 to 1" ❑ > 1"

Comments

Date: C9 illc /2002 Inspection by: Name: AP Agency: E)EP 4 Name: Agency:

NYC WTC 000092889