45 WALL STREET; Bl. 26 Lot 21/1000826

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1000 2..6 WTC Visual Survey Form Premise Address: 14 45 WALL 'S-T Block: Residential Commercial El Name of Building: Lot: Mix Use 0 Other 1 # of Stories: AKA's: I Ia.ce. Building Owner/Management: Tele hone Number: ( ) Name: (Dctc rSe `.evQQo n.& Cor . FAX: ( ) Address: L4 15 W A L L On Site Contact: Name: ar -t-„n . o Telephone Number: (a t'2 ° Q — 3003 Building Owner Management Activities Interior Survey Performed ❑ Yes ❑ No Exterior Survey Performed ❑ Yes ❑ No General Clean Up ❑ Yes ❑ No Locations: P-" ACM Clean Up ❑ Yes ❑ No Locations: El ,g1J'a Air Monitoring ❑ Yes ❑ No Locations:___ Copies of All Reports and Data Requested es u

Visual Inspection Results: Facade: Inspected Debris North ❑ N/A 0 Yes ❑ No No Visible/Fine Layer ❑'/Z to 1" South ❑ N/A [ Yes ❑ No No Visible/Fine Layer ❑'/Z to 1" East ❑ N/A [Yes ❑ No No Visible/Fine Layer ❑ 1/2 to 1" West ❑ N/A ['Yes ❑ No No Visible/Fine Layer ❑ Y2 to 1" Facade Description:

Roof I . kve1 abovQ ma\A roo louvers Debris: ❑ No Visible /Fine Layer rg1/2 to 1" ❑ > 1" 4 uQ Description: n,ro-yc\ i k - mos-1, odwe ~~)We4-TaccoDq

Setbacks N/A ❑ Floor \j Debris:' No Visible/Fine Layer ❑'/2 to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer ❑'/2 to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer ❑'/2 to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer El 1/2 to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer ❑ Yz to 1" ❑ > 1"

Comments

Date: oc / 002 Inspection by: Name Agency:/V'tL-J t t' Name: Agency:

NYC-WTC 000112490