67 MURRAY ST 1001419, 132/2

NYC 9/11 Public Portal Document

WTC Visual Survey Form f ) Premise Address: r _ 4'frrc ,47 Block: Residential f J Commercial ame 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 Q No General Clean Up ❑ Yes ❑ No Locations: ACM Clean Up ❑ Yes ❑ No Locations: Air Monitoring ❑ Yes Q 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 ❑%tol" 0>1" South ❑ N/A El Yes ❑ No ❑ No Visible/Fine Layer ❑%tol" ❑>1" East ❑ N/A ❑ Yes Q No ❑ No Visible/Fine Layer ❑%to1" 0>1" West ❑ N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer ❑Ytol" 0>1" Facade Description:

Roof E st; u Debris: No Visible /Fine ayer r-1'/2 to 1" 4 ~' ❑ > 1" ` Description:

Setbacks N/A n~ Floor. Debris: ❑ No Visible/Fine Layer 0'/2 to 1" ❑ > 1" Floor. Debris: ❑ No Visible/Fine Layer ❑ h to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer ❑ Y2 to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer ❑ %2 to 1" [1> 1" Floor. Debris: ❑ No Visible/Fine Layer ❑ Y2 to 1" ❑ > 1" Comments

Date: 3 / /2002 Inspection Team: Name: Agency: Name: Agency:

NYC-WTC-000100507