WTC visual survey form, 150 [address], 26 stories

NYC 9/11 Public Portal Document w i c visual survey Farm C L. , , ,- M Premise Address: ISO N A5S (U)Mr But') Block: 100 Residential Commercial p Name of Building: Lot: Mix Use 0 Other # of Stories: 2b AKA's: 2-6 sprwc~ s -r Building Owner/Management: Telephone Number: (21z )sic Name: FAX: Address: On Site Contact Name: ,e, 9- 1 Telephone Number. Building Owner Management Activities Interior Survey Performed ❑ Yes ❑ No Exterior Survey Performed ❑ Yes ❑ No General Clean Up 0 Yes ❑ No Locations: ACM Clean Up ❑ Yes ❑ No Locations: Air Monitoring ❑ Yes ❑ No Locations: Copies of All Reports and Data Requested Yes

Visual inspection KesuIts: Facade: Inspected Debris North ❑ N/A IYesDNo No Visible/Fine Layer ❑vzto 1" D> 1" South ❑ N/A Yes ❑ No No Visible/Fine Layer 0'/ to 1" 0>10 East ❑ N/A E JYesDNo J I Visible/Fine Layer No D'/tol" 0>1" West ❑ N/A ® Yes Q No No Visible/Fine Layer ❑%atol" 0>1" Facade Description:

Roof

Debris: (M No Visible /Fine Layer ❑'/to1"'' -- 0>1" Description:

Setbacks N/A IZI Floor Debris: 0 No Visible/Fine Layer ❑'l:to 1" ❑ > 1" Floor. Debris: 0 No Visible/Fine Layer 0 % to 1" ❑ > 1" Floor Debris: ❑ No Visible/Fine Layer ❑ % to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer 0 h to 1" ❑ > 1" Floor Debris: 0 No Visible/Fine Layer ❑ h 10 10 ❑ > 1"

Comments f

Date: err / 10 /2002 Inspection Team: Name: VA/Ao2o 4 tze/Ao8 Agency:J?' Name: Agency:

NYC-WTC 000098770