164 WILLIAM STREET; 1001282, 93/24

NYC 9/11 Public Portal Document

1NTC Visual Survey Form :°: emise Address: , ` — VA~A Block: Residential Commercial 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 (J 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:

Inspected Debris North ❑ N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer ❑ 1A to 1" []>1" South ❑ N/A ❑ Yes ❑,No ❑ No Visible/Fine Layer ❑ % to 1" ❑ > 1" East ❑ N/A s ❑ No ❑ No Visible/Fine Layer ❑ 2 to 1" 0>1" West ❑ N/A ResE]No ❑ No Visible/Fine Layer to 1" ❑ > 1" Facade Description:

Roof

Debris: ❑ No Visible /Fine Layer ❑ % to 1" -. 0>1" Description:

Setbacks N/A ❑ Floor. Debris: ❑ No Visible/Fine Layer ❑ 1/2 to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer ❑ / to 1" ❑ > 1" Floor. Debris: ❑ No Visible/Fine Layer [1% to 1" ❑>I . Floor: Debris: ❑ No Visible/Fine Layer ❑'/:to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer ❑ 1/ 2 to 1" ❑ > 1" Comments

Date: /_/2002 Inspection by: Name: Agency: J Name: Agency:

NYC-WTC 000110952