160 SOUTH STREET Block: 107 Lot: 1 BIN: 1001375 40 Dover Street, 40-46 Dover Street, 160 South Street

NYC 9/11 Public Portal Document

WTC Visual Survey Form Premise Address: t Residential 9 - Block: Commercial Name of Building: Lot Mix UseD 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 ❑ No Exterior Survey Performed YesD No General Clean Up Yes [] No Locations: ACM Clean Up Yes ❑ No Locations: Air Monitoring ❑ Yes ❑ No Locations: Copies of All Reports and Data Requested 1 j Yes Visual Inspection Results: Facade: Inspected Debris North E] N/A ❑Yes❑ No ❑ No Visible/Fine Layer ❑ 34 to 1" 0>1" South ® N/A 9 Yes ❑ No No Visible/Fine Layer ❑ 34 to 1" 0>1" East ❑ N/A DYesDNo D No Vsible/Fine Layer 034t01" 0>1" West ❑ NIA 9YesDNo ❑ No Visible/Fine Layer 9161o1" 0:1-11' Facade Description: n ( '

Roof Debris: JkNo Visible /Fine Layer 914 to 1" E]:,. 1" Description:

Setbacks N/A j3 Floor: Debris: ❑ No Visible/Fine Layer 0341o1' 0>1" Floor. Debris: ❑ No Visible/Fine Layer % to 1" B30 1" Floor Debris: No Visible/Fine Layer 34101" ❑ >10 Floor„___ Debris: No Visible/Fine Layer 'Y to 1" D >10 Floor Debris: No Visible/Fine Layer 34 to 1" [J>1" Comments

Date: /'•+/2002 Inspection Team: Name: Agency: - Name: Agency: ENTERED

NYC-WTC 000116902