37-39 JOHN STREET

NYC 9/11 Public Portal Document

WTC Visual Survey Form $tA 1001ZOO Premise Address: ~~

Block: 78 Residential D Commercial D ire Name of Building: Lot: 3S Mix Use j 1 Other ❑ # of Stories: AKA's: r e 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 Results: Facade: Inspected bris North ❑ N/A ❑ Yes ❑ No No Visible/Fine Layer 2 to 1" 0>? South ❑ N/A ❑ Yes ❑ No No Visible/Fine Layer / to 1" ❑ > 1" East ❑ N/A ❑ Yes ❑ No No VSible/Fine Layer / to? 0>? West ❑ N/A ❑ Yes ❑ No No Visible/Fine Layer '/2 to 1" ❑ > 1" Facade Descriptioi): - .1 ~S

I Roof

Debris: o Visible /Fine Layer ❑ % to? 0>? Description:

Setbacks N/A ❑ Floor. Debris: ❑ No Visible/Fine Layer ❑'/ to 1" ❑ > 1" Floor. Debris: ❑ No Visible/Fine Layer ❑ 6 to 1" ❑ > 1" Floor. Debris: ❑ No Visible/Fine Layer ❑ %2 to 1" ❑ > 1" Floor. Debris: ❑ No Visible/Fine Layer ❑ %a to V ❑ > 1" Floor Debris: ❑ No Visible/Fine Layer ❑ % to 1" ❑ > 1"

Comments

Date: C9 / /2002 Inspection by: Name: 1 P Agency: ID EP Name: Agency:

NYC-WTC 000092894