119 SOUTH STREET Block: 97 Lot: 1 BIN: 1001322 42-44 Peck Slip, 42 Peck Slip, 116 South Street, 118 South Street

NYC 9/11 Public Portal Document

WTC V!sual Survey Form Premise Address: Block: R I ntial 0 mm, rcial13 Name of Building: Lot I MbcUsefJ Other # 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 Q No Exterior Survey Performed ❑ Yes No General Clean Up DYes No Locations: ACM Clean Up Yes No Locations: Air Monitoring Yes No Locations: Copies of All Reports and Data RequestedD Yes Visual Inspection Results: Facade: Ins cted Debris

H%toll North B'N/A es No o Visible/Fine Layer h to 1" > 1' South N/A es No 44o Visible/Fine Layer y4 to 1' > 1" East N/A Yes No No Visible/Fine Layer h to 1" >1' West N/A Yes No No Visible/Fine Layer D> 1" Facade Description:

Roof Debris: io Visible /Fine Layer .D % to 1" U > 1' Description:

Setbacks N/A 0 Floor: Debris: No Visible/Fine Layer 34 to V > 1' Floor____ Debris: No Visible/Fine Layer 34 to 1' > 1' Floor Debris: No Visible/Fine Layer Ys to 1' > 1' Floor Debris: No Visible/Fine Layer Ys to V >1' Floor___ Debris: No Visible/Fine Layer 34 to 1' > 1" Comments

Date: 12012002 Inspection Team: Name: Q rsJeA&d Agency: E E Name: Agency: R o

• irOMlhI' NYC-WTC-000116896