90 JOHN STREET BI 69 lOT. 7502/1001127

NYC 9/11 Public Portal Document

WTC Visual Survey Form 1001127 Premise Address: Ro -fahn S-eree Block: Residential D Commercial Name of Building: Lot: "t 02 Mix Use D Other ❑ # of Stories: 7 AKA's: Building Owner/Management: R,«U{}j FoNcz.Telephone Number: (212) Sbo.- 39 $b. Name: N C- ,,1/)1AfRk- FAX: Address: On Site Contact: Name: ' la c,.o Telephone Number: Z/Z) %-_ ~3A~ 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 rcesuits: Facade: Inspected Debris North ❑ N/A ❑ Yes ❑ No /Fine Layer ❑ % to 1" 0>1" South N/A ❑ Yes ❑ No No Visible/Fine Layer El /2 to 1" ❑> 1" East RN/A ❑ Yes ❑ No ❑ No Visible/Fine Layer ❑'/% to 1" ❑ > 1" West 2] N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer ❑'/2 to 1" ❑> 1" Facade Description:

Roof

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

Setbacks N/A s Floor: 7 Debris:1w No Visible/Fine Layer 0'/ to 1" 0>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" Floor: Debris: ❑ No Visible/Fine Layer 0 % to 1" ❑ > 1"

Comments

Date: 2-. / 1c /2002 Inspection Team: Name: ROq-M "/st " Agency: 2 Name: Agency:

NYC-WTC 000093163