45 WALL STREET; Bl. 26 Lot 21/1000826

NYC 9/11 Public Portal Document

1000 '12,6 r WTC Visual Survey Form Premise Address: yS WALL'S-r. Block: Residential Commercial Name of Building: Lot: Mix Use 0 Other # of Stories: AKA's: _ .0 a-r1 c Building Owner/Management: Tele hone Number: ( ) Name: bc.k c-ose ` •eve-& t1& Co r . FAX: ( ) Address: i5 LJALt. S -r2Ee'r. On Site Contact: Name: ks ni-r' Gr4r o Telephone Number: ate Q — 3003 Building Owner Management Activities Interior Survey Performed ❑ Yes ❑ No Exterior Survey Performed ❑ Yes ❑ No A General Clean Up ❑ Yes El Locations: ~"" ACM Clean Up ❑ Yes ❑ No Locations: , o ff Air Monitoring ❑Yes ❑ No Locations: Copies of All Reports and Data Requested es Visual Inspection Results: Facade: Inspected Debris North ❑ N/A 0 Yes ❑ No No Visible/Fine Layer ❑'/2 to 1" South ❑ N/A ❑ Yes ❑ No No Visible/Fine Layer ❑'/ to 1" East ❑ N/A 'Yes ❑ No No Visible/Fine Layer ❑'/ to 1" West ❑ N/A [Z Yes ❑ No No Visible/Fine Layer ❑ % to 1" Facade Description:

Roof I ,evel above. nn Q A roo4 Il IouVers & 1A Debris: ❑ No Visible /Fine Layer Y2 to 1" ❑ > 1" 4 ' Description: v - mo cod tr )ec-S Dccs' S ce ,

Setbacks N/A ❑ Floor( c Debris:n No Visible/Fine Layer ❑ / to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer ❑'/ to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer El 1/2 to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer ❑ % to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer ❑ % to 1" n> 1"

Comments

Date: _ / ~D 002 Inspection by: Name (,w► Agency: Name: Agency:

NYC-WTC-000112486