13 SOUTH WILLIAM STREET Block: 29 Lot: 45 BIN: 1000843 57 Stone Street

NYC 9/11 Public Portal Document

OCO1 WTC Visual Survey Form 'Premise Address:

Block: 2i / Residential Commercial Name of Building: Lot: y Mix Use Other # of Storie : AKA's: Building OwnerIP4anageripnt Telephone Number: ( ) Name: t FAX: Address: On Site Contact: Name: " ' Telephone Number: ( ) Building Owner Management Activities Interior Survey Performed ❑ Yes 0 No Exterior Survey Performed ❑ Yes ❑ 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 Yes

yisua; inspection Kesults: Facade: Inspected Debris North ❑ N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer ❑%:to 1" 0>1" South ❑ N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer ❑'/ to 1" 0>1" East ❑ N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer ❑'/to1" 0>I - West ❑ N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer F]% to 1" 0>1" Facade Description: ~ 'n" J! _

Roof Wst; Debris: No Visible /Fine yer ❑ Va to 1" 4 ❑ > 1" 1 Description:

Setbacks N/A J Floor. Debris: ❑ No Visible/Fine Layer ❑ "A to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer ❑ v to 1" ❑ > 1" j Floor: Debris: 0 No Visible/Fine Layer ❑'/2 to 1" [J> 1" Floor Debris: ❑ No Visible/Fine Layer ❑'/a to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer ❑'/ to 1" ❑ > 1"

Comments

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Name: Agency: ENTERED

NYC-WTC-000116912