Facade inspection form, 271 Water Street

NYC 9/11 Public Portal Document

WTC Visual Survey Form Premise Address:

Block: Residential 0 Commercial Name of Building: Lot: Mix UseD Other # of Stories: AKA's: Building OwnerlManagement 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 ❑ Yes 0 No Locations: ACM Clean Up 0 Yes 0 No Locations: Air Monitoring 0 Yes 0 No Locations: Copies of All Reports and Data Requested J Yes

Visual Inspection Results: Facade: Inspected Debris North 9141P' Fes 0 No No Visible/Fine Layer ❑ % to 1' ❑ > 1' South f'NlA I3Ses 0 No QNo Visible/Fine Layer 0'i4 to? ❑ > 1" East 0 N/A ❑ Yes 0 No ❑ No VSible/Fine Layer ❑ i4 to 1" ❑ > 1" West ❑ N/A [] Yes 0 No ❑ No Visible/Fine Layer ❑ M to 1" 0>10 Facade Description:

Roof

Debris: -' No Visible /Fine Layer .934 to 1" [] > 1" Description:

Setbacks N/A Floor. Debris: 0 No Visible/Fine Layer 03410 1' 0>? Floor. Debris: 0 No Visible/Fine Layer ❑ % to 1" 0> 1' Floor. Debris: 0 No Visible/Fine Layer ❑ 3h to 1" D> 1' Floor. Debris: 0 No Visible/Fine Layer ❑ % to 1" 0> 1' Floor Debris: 0 No Visible/Fine Layer 03410 1" [3> 1' Comments

Date: 1/ z o 12002 Inspection Team: Name: JCW (VP a Agency: Name: o1~,ti. Yt1t Agency:

NYC-WTC-000113799