25 OLIVER STREET Block: 279 Lot: 105 BIN: 1077457 AKA's:

NYC 9/11 Public Portal Document

WTC Visual Survey Form 1077%/52 F7emise Address: (D t J Block: _Residential Commercial Name of Buildin . .li A rc Lot p Mix Use 0 Other r # of St es: AKA's: Building Ow er nagement: Telephone Number. ( ) Name: FAX: Address: vs — On Site Contact: - Name: ' ' Telephone Number. Building Owner Management Activities Interior Survey Performed Yes No Exterior Survey Performed Yes No General Clean Up Yes ❑ No Locations: ACM Clean Up YesD No Locations: Air Monitoring ❑ Yes j] No Locations: Copies of All Reports and Data RequestedD Yes

Visual lnscectlOn Results: Facade: Inspected Debris North 9 N/A ❑ Yes No ❑ No Visible/Fine Layer 034to1* >1' South East West 0 N/A N/A N/A Yes Yes No No Yes ❑ No No Visible/Fine Layer No Visible/Fine Layer R % to t' to1' No Visible/Fine Layer ❑ % to 1' B20 1' 0>1' [] > 1' Facade Description: ()

Roof Debris: J1No Visible /Fine Layer .9 34 to 1' 9> 1' Description:

Setbacks N/Aw Floor. Debris: 0 No Visible/Fine Layer ❑ 34 to? D>1 Floor:____ Debris: ❑ No Visible/Fine Layer a 34 to 1' 0>1' Floor.___ Debris: 0 No Visible/Fine Layer ❑ 4 to 1' 0>1' Floor:____ Debris: [] No Visible/Fine Layer ❑'h to 1' >1' Floor ___ Debris:DNo Visible/Fine Layer Dh to 1' >1' Comments

Date; / Inspection Team: Name: Agency: Name: Agency:

NYC-WTC-000116017