WTC inspection form for 264 Water Street, 2002

NYC 9/11 Public Portal Document

f . AVV I3(O L WTC Visual Survey Form Premise Address: n Block: ' Residential 0 Commercial Name of Building: Lot: Mix Use 0 Other o

# 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 g 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 j Yes

Visual Inspection Results: Facade: Inspected Debris North 9W( es ❑ No No Visible/Fine Layer ❑htol' 0>1" South I tA BYes ❑ No EjNo Visible/Fine Layer hto l" 0>1" East ❑ NIA ❑ Yes ❑ No ❑ No Visible/Fine Layer h to l" 0>1" West NIA ❑Yes[]No ❑ No Visible/Fine Layer ❑Y2to 1" ❑> 1" Facade Description:

Roof

Debris: f3`Vo Visible /Fine Layer .9hto1- ❑>1' Description:

Setbacks N/A0 Floor Debris:D No Visible/Fine Layer ❑ % to 1' 0>1' Floor Debris: ❑ No Visible/Fine Layer ® % to 1" Floor. Debris: ❑ No Visible/Fine Layer % to 1' Floor Debris: No Visible/Fine Layer % to 1" Floor___ Debris: No Visible/Fine Layer % to 1' Comments

Inspection Team: Name: ►i Agency: Name: ® o Agency:

NYC-WTC 000109557