27 OLIVER STREET Block: 279 Lot: 5 BIN: 1075743 AKA's:

NYC 9/11 Public Portal Document

v WTC Visual Survey Form 107 w/ Premise Address: Block: L Residential Commercial Name of Building: Lot . Mix Use 0 Other # of Stories: AKA's: Building Owner/Managem Telephone Number. ( ) Name: N nt FAX: Address: c/Q.i- On Site Contact: Name: ' ' Telephone Number. Building Owner Management Activities Interior Survey Performed Yes Q No Exterior Survey Performed Yes [] No General Clean Up Yes No Locations: ACM Clean Up Yes No Locations: Air Monitoring ❑ Yes ❑ No Locations: Copies of All Reports and Data Requested 0 Yes

Visual Inspection Results: Facade: Inspected Debris North O N/A ❑ Yes Q No No Visible/Fine Layer htol" ❑>1" South a N/A Yes[] No No Visible/Fine Layer H h to 1" D>1 East ❑ N/A Yes a No No Visible/Fine Layer ❑ 4to 1" 0>1" West [] N/A Yeses No t10 Visible/Fine Layer ❑Ytoi' 0>1" Facade Description: 1J i ,

Roof Debris: (o Visible /Fine Layer 14 to 1" ❑ > 1" Description:

Setbacks N/A ~c Floor Debris: No Visible/Fine Layer y4 to 1' 0>1" Floor. Debris: No Visible/Fine Layer 14 to 1' >1' Floor____ Debris: No Visible/Fine Layer 14 to 1" >1" Floor____ Debris: No Visible/Fine Layer 14 to? >1 Floor.____ Debris: g No Visible/Fine Layer ❑ 14 to? H301"

Comments

Date: I,/1002 Inspection Team: Name: Agency: Name: _Agency:

NYC-WTC 000116020