14 SOUTH WILLIAM STREET Block: 29 Lot: 86 BIN: 1000851 26 South William St., South William Parking

NYC 9/11 Public Portal Document

V WTC Visual Survey Form 1000 8S I Prei i e"E ddress: t - 4L Lk ~c4 ç VCXA,-- Block: I Residential D Commercial Name of Building: Lot: Mix Use Other # of Stories: I AKA's: Buildin Owner/Man ement: Telephone Number. ( ) Name: cam--- ~--~-~ 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 ❑ Yes ❑ No Locations: Air Monitoring ❑ Yes ❑ No Locations: Copies of All Re orts and Data Re uested p Yes

Visual Inspection Results: 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" ❑ > 1" East ❑ N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer ❑ % to 1" 0>1" West ❑ NIA ❑ Yes ❑ No ❑ No Visible/Fine Dyer ❑ to 1" 0>1" Facade Description:

Roof Est; Debris: Vo Visible /Fine yer ❑ Y to 1" 1 ❑ > 1" Description:

Setbacks N/A Floor. Debris: ❑ No Visible/Fine Layer ❑ Ya to 1" Floor. Debris: ❑ No Visible/Fine Layer ❑ / to 1" Floor: Debris: ❑ No Visible/Fine Layer ❑ % to 1" Floor: Debris: ❑ No Visible/Fine Layer ❑ Ya to 1" Floor. Debris: ❑ No Visible/Fine Layer ❑ 4 to 1"

Comments

Date: / l2% Inspection Team: Name: Agency: Name: Agency: E ~`NT ER E

NYC-WTC 000116916