63 THOMAS STREET 151-157 West Broadway, 151 West Broadway Block: 148, Lot: 10, BIN 1001621

NYC 9/11 Public Portal Document / /

WTC Visual survey Form IOU(n2?/ Premise Address: , 1 i Block: j4 I Residential p 1CommerciaI p Name of Bu di g: Lot: IC I Mix Use JJ Other # of Stories: AKA's: - J

Building Owner/Ma ge ent: Telephone r Name: '/0 FAX: Address: 73 7/adIA1 On Site Contact C Name: 0 Q Telephone Number. Building Owner Management Activities Interior Survey Performed ❑ Yes ❑ No Exterior Survey Performed ❑ Yes ❑ No p ,, General Clean Up ❑ Yes [] No Locations: A) GMW` ACM Clean Up ❑ Yes ❑ No Locations: Air Monitoring ❑ Yes [] No Locations: Copies of All Reports and Data Requested p Yes

Visual inspection Results: Facade: Inspected Debris North [V/A ❑ No O No Visible/Fine Layer ❑ % to 1" 0>1" South ❑ N/A h7es: No o Visible/Fine Layer 01410 1" 0>1" East [.N/A ❑Ye No O Visible/Fine Layer 'vatol" No 0>1" West 0 N/A [,rtes No Gto Visible/Fine Layer ❑Yato1" 0>1" Facade Description:

Roof Debris: Q1o Visible /Fine Layer [] % to 1" 0> 1" Description: , I l n

Setbacks N/A J" Floor Debris: ❑ No Visible/Fine Layer El14 to 1" 0>1" Floor. Debris: No Visible/Fine Layer ❑ % to 1" ❑ > 1" Floor. Debris: [3 No Visible/Fine Layer 034101" [] >1" Floor Debris: No Visible/Fine Layer ❑ % to 1" 0>1" Floor. Debris: No Visible/Fine Layer L]'f to 1" 0>1" Comments

Date: Inspection Team: Name: Agency: V C Name: Agency:

NYC-WTC- 000116753