13 OLIVER STREET Block: 279 Lot: 12 BIN: 1003366 AKA's:

NYC 9/11 Public Portal Document

. V VYTC Visual Survey Form (00336 Premise Address: lock: Residential CommercialD Name of Building: Lot: I Mix UseD Otherlj # of Sto U I AKA's: Building Owner) lanageme t: Telephone Number. ( 1 Name: !--I- FAX: Address: 100 p On Site Contacts Name: ' ' -' Telephone Number. Building Owner Management Activities Interior Survey Performed IJ Yes 0 No Exterior Survey Performed DYesIJ 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 fl Yes

Visual Inspection Results: Facade: Inspected Debris North ❑ N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer El % to 1' D> 1' South 0 N/A ❑ Yes ❑ No No Visible/Fine Layer 34 to 1' ❑ > 1' East ❑ N/A a Yes Q No No Visible/Fine Layer 034t01' 9>1' West a N/A 9 Yes,[J No _ No~ Visible/Fine Layer ❑ 4 to 1' ❑ > 1' Facade Description: n V ,~

Roof Debris: No Visible /Fine Layer -0 % to 1' 0>1 '

Description:

Setbacks N/A Floor.____ Debris: No Visible/Fine Layer ❑ 6 to 1' >1' Floor Debris: No Visible/Fine Layer ❑ % to 1' >1' Floor____ Debris: No Visible/Fine Layer % to 1' >1' Floor: Debris: No Visible/Fine Layer 34 to 1' > 1' Floor Debris: No Visible/Fine Layer % to 1' >1'

Comments

Date: _ci k 12002 Inspection Team: Name: Agency: Name: Agency. ENTERED

NYC-WTC 000116032