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

/o0 I I b 3 WTC Visual Survey Form Premise Address: 200 Block: '75 ResidentialD Commercial p Name of Building: Lot: I Mix UseD Other # of Stories: AKA's: Building O ner/M ment: Telephone Number: ( ) Name: nar,4-q-, 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

VIbUdl JIJ JCGUU11 RC3u1W.

Facade: •Inspected Debris North ❑ A ❑ es ❑ No ❑ o Visible/Fine Layer ❑ % to 1" ❑ > 1" South [ /A fl 'Yes ❑ No Visible/Fine Layer ®'h to 1" ❑ > 1" East ❑ N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer ❑ % to 1' 0>1' West ❑ N/A ❑ Yes ❑ No No Vsible/Fine Layer ❑ Y2 to 1" 0>1" Facade D sc ion:

I Roof Debris: ❑ No Visible /Fine La er ❑ % to " r ❑ > 1" Description:

Setbacks N/A ❑ Floor: Debris: ❑ No Visible/Fine Layer 016 to V ❑ > 1' Floor: Debris: ❑ No Visible/Fine Layer ❑ 16 to 1' ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer ❑ 16 to V ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer ❑ 16 to V ❑ > 1' Floor: Debris: ❑ No Visible/Fine Layer ❑ % to 1" ❑ > 1' ..

Date: '41 17 42002.. Inspection Team: Name: - 4-e_ Agency: Name: Agency:

NYC-WTC 000093307