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

NYC 9/11 Public Portal Document

10001U /}y4 is s. w%/ :ate, s4 y WTC Visual Survey Form Premise Address:

Blo Residential Commercial Name of Building: Lot: G Mix Use Other +AM0 • #of o es: AKA's: , Building r Name: Address: On Site Contact: Name: " ' l Y - ~ 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 ❑ No Locations: Air Monitoring ❑ Yes ❑ No Locations: Copies of All Reports and Data Requested Yes

Visual Inspection results: Facade: Inspected Debris North ❑ N!A Yes ❑ No ❑ No Visible/Fine Layer ❑ Ya to 1" 0>1" South ❑ N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer ❑ % to 1" ❑ > 1" East ❑ NIA ❑ Yes ❑ No ❑ No Visible/Fine Layer ❑ % to 1" 0>1" West ❑ N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer ❑ % to 1" 0>1" Facade Description:

Roof Est; u Debris: Visible /Fine yer ❑ % to 1" •1 ❑ > 1" 1 Description:

Setbacks N/A Floor. Debris: ❑ No ViSible/Fine Layer ❑ Ys to V ❑ > 1" Floor. Debris: ❑ No ViSible/Fine Layer ❑ % to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer 0 Y2 to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer 0 V to 1" ❑ > 1" Floor. Debris: ❑ No ViSible/Fine Layer ❑ % to 1" ❑ > 1" Comments

Date: /,./2002 Inspection Team: Name: Al Agency: Name: Agency:

NYC-WTC 000116924