WTC facade inspection form, 58 Stone Street, 2001

NYC 9/11 Public Portal Document

WTC Visual Survey Form 100014'O Premise Address:

Block: Residential Commercial p Name of Building: Lot 29 Mix Use Other S of Stories: AKA's: Building Owner/Management Telephone Number. ( ) Name: FAX: Address: On Site Contact: Name: Telephone Number. Building Owner Management Activities Interior Survey Performed ❑ Yes 0 No Exterior Survey Performed 8 Yes No a

Yes ❑ No Locations: General Clean Up ACM Clean Up Air Monitoring 0Yes L,} No Locations: j] Yes j] No Locations: Copies of All Reports and Data RequestedD Yes

Visual Inspection Results: Facade: Inspected Debris North N/A ❑Yes❑ No No Visible/Fine Layer % to 1' > 1' South N/A OYesDNo No Visible/Fine Layer %tot' B30 1" East N/A DYesDNo No Visible/Fine Layer to 1' 0>1" West 9 N/A O Yes jJ No No Visible/Fine Layer 36to1" >1' Facade Description: „ ()

Roof Debris: Description: i No Visible /Fine Layer j_] 34 to 1'

Setbacks WAI, Floor.____ Debris: No Visible/Fine Layer % to 1" > 1' Floor____ Debris: No Visible/Fine Layer % to 1' > 1' Floor____ Debris: No Visible/Fine Layer 3g to? >1' Floor____ Debris: No Visible/Fine Layer 14 to 1' >1' Floor____ Debris: No Visible/Fine Layer 14 to? >1' Comments

Date: f, N 12002 inspection Team: Name:. ency: Name: Agency: ENTEREC`

NYC-WTC 000116852