44 JOHN STREET 1001110, 67/30

NYC 9/11 Public Portal Document

WTC Visual Survey Form $IJ IO o I I 10 Premise Address: f I f ' Tohn Sfre~-e+ Block: (p 7 Residential El Commercial Name of Building: Lot: 3o Mix Use ❑ Other ❑ # of Stories: AKA's: 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 Debris North ❑ N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer UII%tol " 0 >1" South ❑ N/A ❑ Yes ❑ No []No Visible/Fine Layer %2to1" ❑>1" East ❑ N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer E111/2 tol" 0>1 West ❑ N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer Y2 to 1" 0>1" Facade Description:

Roof

Debris: ❑ No Visible /Fine Layer ❑ Y2 to 1" ❑ > 1" Description:

Setbacks N/A ❑ Floor: Debris: ❑ No Visible/Fine Layer 0'/2 to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer ❑'/2 to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer 0 '/2 to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer ❑'/2 to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer 0'/2 to 1" ❑ > 1"

Comments

Date: 07. ///2002 Inspection by: Name: AP Agency: DEP Name: Agency:

NYC-WTC 000092993