License agreement for exterior cleaning, 65 Liberty Street

NYC 9/11 Public Portal Document

WTC Visual Survey Form Premise AddreSS 1

Block: Residentia Commercial J Name of Building: Lot: Mix Use her #of Stories: 2-0 AKA's: Building Owner/Management: Telephone Number: ( Z~ -z ) Sç G - 3So ) Name: -1-el 1~,1, `74 b Address: On Site Contact: Name: • * r'1 rIe Telephone Building Owner Management Activiti Interior Survey Performed ❑ Yes [[No Exterior Survey Performed ❑ Yes'® No General Clean Up ❑ Yes QNo Locations: ACM Clean Up ❑ Yes ❑ No Locations: Air Monitoring ❑ Yes ❑ No Locations: Copies of All Reports and Data Requested Yes

Visual Inspection Results: Facade: Debris North South ❑ N/A ❑ N/A InNesesected ❑ No ❑ No ❑ No Visible/Fine Layer JY2 ❑ No Visible/Fine Layer to 1" to 1" > 1" East ❑ N/A -Yes ❑ No ❑ No Vsible/Fine Layer to 1" ❑> 1" West ❑ N/A s ❑ No ❑ No Visible/Fine Layer to 1" ❑ > I" Facade Description:

Roof

Debris: No Visible /Fine Layer .D '/a to 1" ❑ > 1" Description: L. J

Setbacks N/A ❑ Floor. Debris: ❑ No Visible/Fine Layer ❑ Y2 to 1" ❑ > 1" Floor. Debris: ❑ No Visible/Fine Layer ❑'A to V ❑ >V Floor: Debris: ❑ No Visible/Fine Layer ❑'A to V ❑ >V Floor: Debris: ❑ No Visible/Fine Layer ❑'/2 to V ❑ > 1" Floor. Debris: ❑ No Visible/Fine Layer ❑ A to 1" ❑ >V

Comments

Date: j/ : t' 12002 Inspection Team: Name: Agency:,LJ' v Name: Agency:

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NYC-WTC 000093477