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

NYC 9/11 Public Portal Document

S e 1000 T T~/ 4 ' w,:a a —__ i 'J tl WTC Visual Survey Form Premise Address:

Rio Residential fl Commercial Name of Building: Lot: o Mix Use Other + 4 P4 # of o es: AKA's: r Building Name: Owner/Mana a nt: S f(, Address: On Site Contact Name: Telephone Number: Building Owner Managem t Activities Interior Survey Performed j] 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 Alt Re orts and Data Re uested Yes

Visual Inspection Results: Facade: Inspected Debris North ❑ N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer 034t01" 0>1" South ❑ N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer 034t01" 0>1"I- East ❑ NIA ❑ Yes ❑ No ❑ No Visible/Fine Layer 0% to 1" 0>1" West Q N/A ❑ Yes ❑ No ® No Visible/Fine Layer ®%to1" []>1" Facade Description:

Roof Post~ Debris: ~No Visible /Fine yer 0 Y2 to 1" 4' ❑ > 1" Description:

Setbacks N/A 1 . Floor. Debris: ❑ No Visible/Fine Layer D4 to 1" ❑ > 1" Floor. Debris: ❑ No Visible/Fine Layer ❑ % to 1" 0> 1" Floor: Debris: ❑ No Visible/Fine Layer ❑ Y2 to 1" ❑ > 1" Floor: Debris:D No Visible/Fine Layer ❑'/ to 1" ❑ > 1" Floor Debris: [j No Visible/Fine Layer ❑ % to 1" 0> 1" Comments

Date: It 1 /2002 Inspection Team: Name: Agency: Name: Agency: T

NYC-WTC 000116938