127 JOHN STREET Block: 75 Lot 1 BIN: 1001163 200 Water Street, 240-266 Pearl St, 182-202 Water St., 32

NYC 9/11 Public Portal Document

~F• WTC Visual Survev Form 1 601/" Premise Address:

Block: 76 I Residential U Comme 'al Name of Building: Lot I Mix Use 0 Other # of Stories: I AKA's: Building ner/Man gement Telephone Number. Name: oG FAX: Address: On Site Contact Name: a hone.Number. Building Owner Manageme 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 ❑ ~4 to 1' 0>? South ❑N/A ❑Yes❑No ❑ No Visible/Fine Layer ❑htol' 0>1' East ❑ N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer Q'% to l' 0>1' West ❑ N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer ❑%to 1' 0>1' Facade Description: „ n

Roof

Debris: No Visible /Fine Layer .0 % to 1' ❑ >V Description:

Setbacks N/A ❑ \ Floor: Debris: ❑ No Visible/Fine Layer ❑ % to 1' ❑ > 1' Floor____ Debris: ❑ No Visible/Fine Layer ❑ % to V ❑ > 1' Floor Debris: ❑ No Visible/Fine Layer ❑ % to V ❑ > 1' Floor____ Debris: ❑ No Visible/Fine Layer ❑ 4 to 1' ❑ >V Floor. Debris: 0 No Visible/Fine Layer ❑ 4 to 1' ❑ > 1' Comments"

Date: 6 /,/2002 Inspection Team: Name:-' Agency: Name: Agency:

NYC-WTC 000093305