21 SOUTH WILLIAM STREET Block: 29 Lot: 49 BIN: 1000847 23 South William St., 45-47 Stone Street

NYC 9/11 Public Portal Document

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WTC Visual Survey Form Premise Address: ? Block: Residential 9 Commercial Name of IIdin . Lot Mix UsD Other 0 - # of Stories: AKA's: Building Owner/Management Telephone Number. ( ) Name: FAX: Address:• , ------------ On Site Cot -------- - Name: ' ' P11 Telephone Number P Building OwnerMinagement~Actvlfes Interior Survey Performed ❑ Yes ❑ No Exterior Survey Performed YesL]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: in ected Dqbrls North N/A EJes No Visible/Fine Layer El% to 1' 9>1' South East West N/A ❑ N/A 0 N/A Yes No es 0 No Yes❑No o Visible/Fine Layer o Visible/Fine Layer % R°' 9>1 34t01' 9.No Visible/Fine Layer [] % to 1 ' H > 1' 9>1' ' Faadc L'::nation:

Roof Debris: VNo Visible /Fine Layer 93 to 1' 9>1'

Setbacks WA=] Floor___ ❑ No Visible/Fine Layer 4 to 1' 9>1' Floor._ Debris: 0 No Visible/Fine Layer 34 to 1' >1' Floor. Debris: Q No Visible/Fine Layer % to 1' >1' Floor____ Debris: No Visible/Fine Layer 3% to 1' >1' Floor Debris:DNo Visible/Fine Layer 34t01' 0>1' Comments '

Date: I I OQ2 E 5sspec11on Team: Name: l/ ' ' Agency: `i R E Name: Agency: ~T --NYC-WTC-000116948