110 WILLIAM STREET; 1001186, 77/8

NYC 9/11 Public Portal Document

1

WTC Visual Survey Form Premise Address: 1 10 W 0 II i ms 84ree--f /69-81 tohr) Stre Block: 7 07 Residential 0 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 ❑ Yes

Visual inspection Results: Facade: Inspected De is North South ❑ N/A ❑ N/A ❑ Yes ❑ No ❑ Yes ❑ No rj oo Visible/Fine Layer F]'/ to 1" 0>11 Visible/Fine Layer ❑Veto 1" D>1 East ❑ N/A ❑ Yes ❑ No No Visible/Fine Layer ❑Vato1" 0>1" West ❑ N/A ❑ Yes ❑ No Ifl(Jo Visible/Fine Layer ❑%to 1" 0>11 Facade Description:

Roof

Debris: No Visible /Fine Layer [3% to 1" 0>1 Description:

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

Comments

Date: a //2002 Inspection by: Name: AP Agency: DEP Name: Agency:

NYC-WTC-000110358