19 SOUTH WILLIAM STREET Block: 29 Lot: 48 BIN: 1000846 49-51 Stone Street

NYC 9/11 Public Portal Document

WTC Visual Survey Form Pternte Address: )L1 &. 115 1 -- Block: Residential 0 Cornmerc1aT Name of Building: Lot: Mix UseD OtherlJ # of Stories: AKA's: Building OwnerIManagerpen Telephone Number. ( ) Name: FAX: Address: On Site Contact Name: ' ' Telephone Number Building Owner Management Activities interior Survey Performed Exterior Survey Performed General Clean Up B Yes No Yes g No Yes No Locations: ACM Clean Up Yes No Locations: Air Monitoring Yes No Locations: Copies of All Reports and Data Requested fl Yes Visual inspection Results: Facade: Inspected Debris

H%tolll North NIA fl Yes No No Visible/Fine Layer 14 to 1 D> 1' South NIA Yes No No Visible/Fine Layer % to? > 1' East N/A Yes No No Visible/Fine Layer 3% to 1' > 1' West N/A Yes No H3010 No Visible/Fine Layer Facade Description: (\

Roof Debris: o Visible /Fine Layer D 34 to 1' Description:

Setbacks N/A Floor.___ Debris: No Visible/Fine Layer 34 to 1' > 1' Floor___ Debris: No Visible/Fine Layer 34 to 1' > 1' Floor.____ Debris: No Visible/Fine Layer % to 1' > 1' Floor - Debris: No Visible/Fine Layer 3% to 1' >10 Floor___ No Visible/Fine Layer % to 1' >1' Comments

Date: /x; 002 Inspection Team: Name: Agency: Q► Name: Agency:_______ E R

NYC-WTC 000116943