100 WILLIAM STREET; 1001116, 68/36

NYC 9/11 Public Portal Document

WTC Visual Survey Form Premise Address: I Oo Wi N1iani5 S+ree-f 7;-'7S John 5-Free+ Block: ResidentialD CommercialD Name of Building: Lot: Mix Use ❑ 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 ❑ 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 IYes Visual Inspection Results: Facade: Inspected Debris North ❑ N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer s to 1" 0>1" South ❑ N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer t194 to 1" ❑ > 1" East ❑ N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer %! to 1" 0>1" West ❑ N/A ❑ Yes ❑ No []No Visible/Fine Layer ' to 1" ❑ > 1" Facade Description:

Roof

Debris: Visible /Fine Layer n% to 1" 0>1" Description:

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

Comments

Date: C) //2002 Inspection by: Name: Agency: DP Name: Agency:

NYC-WTC 000110353