15 SOUTH WILLIAM STREET Block: 29 Lot: 46 BIN: 1000844 55 Stone Street

NYC 9/11 Public Portal Document VW 100 /BAR 's 1s. 0 sY . ► }_i .., na 1 V WTC Visual Survey Form Premise Address:

Blo Residential Commercial . Name of Building: Lot: Mix Use Other +0NO Olt * of o es: AKA's: r Building Owner/Man a nt: $" ~T6tjWSr' p Q Name: P~nr .Mi IC Address: On Site Contact: Name: - ~ Telephone Number. Building Owner Managem t Activities Interior Survey Performed ❑ Yes ❑ No Exterior Survey Performed ❑ Yes ❑ No General Clean Up ❑ Yes ❑ No Locations: ACM Clean Up ❑ Yes 0 No Locations: Air Monitoring ❑ Yes ❑ No Locations: Copies of All Reports and Data Requested J Yes

Visual Inspection results: Facade: Inspected Debris North ❑ N/A ❑ Yes [Q No ❑ No Visible/Fine Layer ❑Vto1" 0>1" South ❑ N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer ❑Ytol" 0>1" East ❑ N/A ❑ Yes Q No ❑ No Visible/Fine Layer ❑ Ya to 1" 0>1" West ❑ N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer ❑Mato 1" 0>1" Facade Description: ~.- 'tr

Roof " Debris: o Visible /Fine yer ❑ % to 1" 4 ❑ > 1" Description:

Setbacks N/A Floor. Debris: ❑ No Visible/Fine Layer ❑ Y2 to 1" ❑ > 1" Floor. Debris: 0 No Visible/Fine Layer ❑ Va to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer ❑ Va to I" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer ❑ V to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer ❑ Va to 1" ❑ > 1"

Comments

Date: 14 /j /2002 Inspection Team: Name: At Agency: Name: Agency:

NYC-WTC-000116920