WTC facade inspection form, 54 Stone Street, 2001

NYC 9111 Public Portal Document

e WTC Visual Survey Form Premise Address:

Block: Residential D Commercial Name of Building: Lot: Mix UseD Other # of Storie : AKA's: Building ner/Managem t Telephone Number. ( ) Name: ~S FAX: Address: On Site Contact Name: " Telephone Number. Building Owner Management Activities Interior Survey Performed ❑ Yes Q No Exterior Survey Performed Q Yes [] No General Clean Up ❑ Yes ❑ No Locations: ACM Clean Up ❑ Yes ❑ No Locations: Air Monitoring ❑ Yes 9 No Locations: Copies of All Reports and Data Requested J Yes Visual Inspection Results: Facade: Inspected Debris North ❑N/A 0Yes❑No ❑ No Visible/Fine Layer p%to1" 0>1" ❑ N/A ❑Yes ❑ No South East West 0 N/A ❑ N/A ❑ Yes 0 No O Yes ❑ No R No Visible/Fine Layer ❑ 6 to 1" No Visible/Fine Layer ❑ 4 to 1" ❑ No Visible/Fine Layer ❑ 4 to 1" 0>1" 0>1" 0>1" Facade Description:

Roof

Debris: No Visible /Fine Layer 934 to 1" 0>1" Description:

Setbacks N/A Floor. Debris: No Visible/Fine Layer 034 to 1" >1" Floor Debris: No Visible/Fine Layer ❑ % to 1" >1" Floor. Debris: No Visible/Fine Layer h to 1" >1" Floor„_ Debris: D No Visible/Fine Layer % to 1" 9>1' Floor. Debris: a No Visible/Fine Layer % to 1" 0>1"

Comments

• Date: —I Inspection Team: Name: Agency: Name: Agency: ENT ERE10

NYC-WTC-000116848