150 William St.; BN# 1001280

NYC 9/11 Public Portal Document

WTC Visual Survey Form Premise Address- ISO W 1 Lu A .M S-TVAE9 r' Block: Residential J Commercial Name 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 0 No Exterior Survey Performed ❑ Yes 0 No General Clean Up J Yes 0 No Locations: PooF At SueF s ACM Clean Up ❑ Yes 0 No Locations: Air Monitoring ❑Yes 0 No Locations: Copies of All Reports and Data Requested fl Yes

visuall-inspection Results: Facade: Inspected Debris North 0 N/A ❑ Yes 0 No ❑ No Visible/Fine Layer %to 1" 0>1" South 0 N/A ❑ Yes 0 No ❑ No Visible/Fine Layer % to 1 " 0 > 1" East ❑ N/A ❑ Yes 0 No ❑ No Visible/Fine Layer 0%to 1" 0>10 West ❑ N/A ❑ Yes O No ❑ No Visible/Fine Layer 0Y2to1" ' .0>1 " Facade Description:

Roof

Debris: ❑ No Visible /Fine Layer ® % to 1" . 0>10 Description: u4s)E¢ a/C V M rT A+. D Pi QES (M ST t ici 09 ( F)

Setbacks N/A Floor it Debris: 0 No Visible/Fine Layer ~$'A to 1" ❑ > 1" Floor. io Debris: 0 No Visible/Fine Layer ®'A to I" ❑ > 1" Floor: t3 Debris: 0 No Visible/Fine Layer ®'A to 1" ❑ > 1" Floor. 12 Debris: 0 No Visible/Fine Layer 6 to 1" ❑ > 1" Floor Debris: 0 No Visible/Fine Layer ❑/s to 1' ❑ > 1" Comments

Date: 11 /=/2002 Inspection Team: Name: 1A / Ao2o Agency: tYt Name: Agency: ENTERE Y

NYC-WTC 000110667