41 MURRAY ST 1001445, 133/7501

NYC 9/11 Public Portal Document

WTC Visual Survey Form O' %'9 Premise Address: tt Block: ResidentialD CommercialD Name of Building: Lot: 7 50 1 Mix UseD Other 0 qf' ivi # 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" [:>1" South ❑ N/A © Yes ❑ No ❑ No Visible/Fine Layer 0 % to 1" ❑ > 1" East ❑ N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer ❑ % to 1" ❑ > 1" West ❑ N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer ❑ Ya to 1" ❑ > 1" Facade Description:

Roof

Debris: © No Visible /Fine yer ❑ % to 1" •1 ={'"' ❑ > 1" 1 Description: I k+ S ; C—cT--i 119 e„ ., S 3 MCA a e4Ly

Setbacks N/A Q Floor. Debris: ❑ No Visible/Fine Layer ❑ % to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer ❑ % to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer ❑ V to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer ❑ V2 to? ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer ❑ % to 1" ❑ > 1"

Comments

Date: i:7, I 12002 Inspection Team: Name: Fk Agency: Name: WT. c i; Agency:

NYC-WTC 000100162