9 SOUTH WILLIAM STREET Block: 29 Lot: 43 BIN: 1000842 59-61 Stone Street, 9 Mill Lane

NYC 9/11 Public Portal Document !/

WTC Visual Survey Form 10008142' Premise Address: So-~.•QL '1'3'W ate.. Block: Residential D Commercial Name of Building: Lot: 4 # of Stories: Mix Use p Other AKA's: Building Owner/Management Telephone Number. ( ) Name: tr FAX: Address: On Site Contact Name: Telephone Number. Building Owner Management Activities Interior Survey Performed ❑ Yes ❑ No Exterior Survey Performed ❑ Yes ❑ No General Clean Up ❑ Yes ❑ No Locations: ACM Clean Up 0 Yes ❑ No Locations: Air Monitoring ❑ Yes ❑ No Locations: Copies of All Reports and Data Requested f 1Yes

Visual Inspection Results: Facade: Inspected Debris North ❑ N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer ❑ % to 1" D>1" South ❑ N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer ❑ to 1" D>1" East ❑ N/A ❑ Yes ❑ No ❑ No Vsible/Fine Layer ❑ h to 1" D>1" West ❑ N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer ❑ Va to l" 0>1" Facade Description: 4€1 0

Roof u Debris: 1No Visible /Fine yer ❑ Y. to 1" ~~ ='" ❑ > 1" 1 Description:

Setbacks N/A Floor. 4 Debris: ❑ No Visible/Fine Layer ❑ Va to 1" ❑ > 1" Floor. Debris: 0 No Visible/Fine Layer ❑ % to 1" ❑ > 1" Floor. Debris: ❑ No Visible/Fine Layer ❑ Va to 1" ❑ > 1" Floor. Debris: ❑ No Visible/Fine Layer ❑ Va to 1' ❑ > 1" Floor. Debris: ❑ No Visible/Fine Layer ❑ h to 1" ❑ > 1"

Comments

Date: / /2002 Inspection Team: Name: Agency: ENTE REQ Name: Agency:

NYC-WTC-000116908