Site identification label, 40 Wall Street

NYC 9/11 Public Portal Document

'WTC Visual Survey Form :: ` Premise Address:

Block: Residential t Commercial s —

Name of Building: Lot: Mix Use ❑ . Other❑ # of Stories: AKA's: Building O /Managqment Telephone Number. ( ) Name: vv FAX: Address: On Site Contaçt Name: Building Owner Management ,LO \A Telephone Number. (' ivities Interior Survey Performed J Yes ❑ No Exterior Survey Performed,YJYes ❑ No General Clean Up [Yes ❑ No Locations: ACM Clean Up 0 110 Locations: Air Monitoring es ❑ No Locations: Copies of All Reports and Data Requested Jkes

Visual Inspection Results: Facade: 11nsected Dejis North South ❑ N/A ❑ N/A Z es ❑ No )ess ❑-No Visible/Fine Layer isible/Fine Layer ❑'/2

❑'/2 to 1" to 1" ❑ > 1" ❑ > 1" East ❑ N/A ❑ No N isible/Fine Layer ❑ Y2 to 1" ❑ > 1" West ❑ N/A ['Yes ❑ No o Visible/Fine Layer ❑'/2 to 1" ❑ > 1" Facade Description:

Roof

Debris: o Visible /Fine Layer ❑ % to 1" 0>1" Descriptio

Setbacks N/Ap Floor: 25 Debris: o Visible/Fine Layer ❑ % to 1" 0>1" Floor: Debris. No Visible/Fine Layer El 1/2 to 1" ❑> 1" Floor: Debris: []'No Visible/Fine Layer ❑'/2 to 1" ❑ > 1" Floor: Debris: Visible/Fine Layer ❑ %to 1" ❑ > 1" Floor: Debris: 6zo Visible/Fine Layer ❑'/2 to 1" 0>1" Comments

Date: 'T /200f Inspection by: Name: C_y2L ~t ►c~/fi- Agency: Name: Agency:

NYC-WTC 000112373