17 SOUTH WILLIAM STREET Block: 29 Lot: 47 BIN: 1000845 53 Stone Street

NYC 9/11 Public Portal Document

!,1 tie o i'4 V WTC Visual Survey Form Prom —Ise Address:

Blo Residential Commercial . Name of Building: Lot: 6 Mix Use Other + ® k t'pj. # of o es: AKA's: Building Owner/Man a nt: S stoejrSr' J . Name: P Mi r4 Address: On Site Contact: Name: * ' 1 '(• ,. Telephone Number. Building Owner Managemo 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 J J Yes

Visual Inspection kesults: Facade: inspected Debris North ❑ N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer 034t01" 0>1" South ❑ N/A ❑ Yes ❑ No ❑ No Vsible/Fine Layer 0114t01" 0>1" East ❑ N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer F]% to 1" 0>1" West ❑ N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer ❑ Y2 to 1" ❑ > 1" Facade Description: 4. . ( Kj e* Uo~~ /JCt

Roo gist; u Debris: No Visible /Fine yer ❑ Y2 to 1" .1 ' 0>1" 1 Description:

Setbacks N/A Floor. Debris: ❑ No Visible/Fine Layer ❑ Y2 to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer ❑ Y2 to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer ❑ Y2 to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer 0'/2 to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer ❑ Y2 to 1" ❑ > 1"

Comments

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

NYC-WTC-000116933