License agreement for facade cleanup, 22 Thames St, Oct 2002

NYC 9/11 Public Portal Document

WTC Visual Survey Form 1.0 o 1 c ! Premise Address: 22 1 (NNLeS S -T 2Ej - r Block: 51 ResidentialD Commercial 9 Name of Building: Lot: I LI Mix Usefl Other 0 of Stories: AKA's: M 2 (cA cR rnc c Jul

cc-1AcC Building Owner/Management Telephone Number. ( ) Name: FAX: Address: 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 ❑ Yes ❑ No Locations: Air Monitoring ❑ Yes 0 No Locations: Copies of All Reports and Data Requested Yes Visual Inspection Results: Facade: Inspected ebris North [] N/A ❑ Yes ❑ No No Visible/Fine Layer 934t01" 0>1" South ❑ N/A ❑ Yes ❑ No No Visible/Fine Layer ❑ % to 1" ❑ > 1" East ❑ N/A ❑ Yes ❑ No flJNoVisiblefFineLayer ❑ % to l" 0>10 West ❑ N/A ❑ Yes ❑ No No Visible/Fine Layer ❑ % to 1" 0>1" Facade Description:

Roof

Debris: JJ J No Visible /Fine Layer ❑'h to 1" ' 9> 1" Description:

Setbacks N/A9 Floor. Debris: [] No Visible/Fine Layer ❑ %to 1" 0>1" Floor. Debris: ❑ No Visible/Fine Layer E) 34 to 1" ❑>1" Floor. Debris: ❑ No Visible/Fine Layer 34 to 1" ❑> 1" Floor. Debris: ❑ No Visible/Fine Layer ❑ % to 1" 9 >10 Floor. Debris: ❑ No Visible/Fine Layer 934 to 1" 9 > 10

Comments

Date: Qt 12002 Inspection Team: Name: (M M. L J fife i A L Agency:/ V C Name: Agency:

NYC-WTC 000116123