55 LEONARD STREET Block: 177, Lot: 6, BIN: 1001973 AKA:

NYC 9/11 Public Portal Document

WTC Visual Survey Form Premise Address:

Block: 11 T ResidentiaL Commercial J Name of Building: Lot: Mix Use 0 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 ❑%to 1' 0>1' South ❑N/A ❑Yes❑No ❑ No Visible/Fine Layer ❑34to1' 0>1' East ❑ N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer ❑%to 1' 0>1' West ❑ N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer ❑ % to 1' 0>1' Facade Description: () f _

Roof

Debris: No Visible /Fine Layer ❑ 34 to 1' ❑ > 1' Description:

Setbacks N/AB Floor Debris: ❑ No Visible/Fine Layer ❑ % to 1' ❑ > 1' , Floor Debris: ❑ No Visible/Fine Layer ❑ % to 1' ❑ > 1' Floor Debris: 0 No Visible/Fine Layer 03410 1' ❑ > 1' Floor Debris: 0 No Visible/Fine Layer ❑ % to 1' > 1' Floor Debris: 0 No Visible/Fine Layer ❑ % to 1' > 1'

Comments , 4.Y

Date: ~1 12002 Inspection Team: Name: Agency. Name: Agency:

NYC-WTC 000093327