130 WILLIAM STREET; 1001187, 77/15

NYC 9/11 Public Portal Document

* WTC Visual Survey Form E N 100118 Premise Address: 13 0 W i i II a rr 5+ree~- Block: fl Residential 0 Commercial Name of Building: Lot: I Mix Use fl Other fl # 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 visuai inspection Results: Facade: Inspected Debris North ❑ N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer 14 to 1" 0>1' South 0 N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer Va to 1" ❑ > 1" East ❑ N/A ❑Yes ❑ No ❑ No Vsible/Fine Layer % to 1" 0>1' West ❑ N/A ❑Yes ❑ No ❑ No Visible/Fine Layer lljYatol' 0>1' Facade Description:

Roof

Debris: Visible /Fine Layer ❑ Ya to 1" ❑ > 1" Description:

Setbacks N/A ❑ Floor Debris: 0 No Visible/Fine Layer ❑ % to 1" ❑ > 1" Floor Debris: ❑ No Visible/Fine Layer ❑'/2 to 1" ❑ > 1" Floor Debris: ❑ No Visible/Fine Layer ❑ % to 1" ❑ > 1" Floor Debris: 0 No Visible/Fine Layer 0 % to 1" ❑ > 1" Floor Debris: 0 No Visible/Fine Layer ❑ h to V ❑ > 1" Comments

Date: & 1 &O/2002 Inspection by: Name: AP Agency: DEP V Name: Agency:

NYC-WTC-000110534