WTC facade inspection form, 45 St James Place, 2001

NYC 9/11 Public Portal Document . 1 d . WTC Visual Survey Form /00337~ asmise Address: — ~ i-ILJC S P(- Block: Residential J Commercial Name of Building: Lot: Mix UseD Dtherp # of Stories: AKA's: Building Owner/Management Telephone Number ( ) Name: FAX:( Address: On Site Contact: Name: Telephone Number. Building Owner Management Activities Interior Survey Performed ❑ Yes Q No Exterior Survey Performed Yes[] No General Clean Up ❑ Yes No Locations: ACM Clean Up ❑ Yes 0 No Locations: Air Monitoring ❑ Yes 0 No Locations: Copies of All Reports and Data Requested Yes

Visual Inspection Results: Facade: Inspected Debris North Q N/A ❑ Yes Q No No Visible/Fine Layer % to 1" 0> 1" South a N/A Q Yes 0No No Visible/Fine Layer % to 1 0>1* East N/A Yes ❑ No 0 No Visible/Fine Layer % to 1 D> 1" West N/A Yes o ❑ No Visible/Fine Layer ❑ Va to 1" 0>1* Facade Description: ^ _ V r,

Roof Debris: o Visible /Fine Layer .914 to 1* Description:

Setbacks N/A Floor: Debris: D No Visible/Fine Layer % to? D>1 Floor____ Debris: a No Visible/Fine Layer % to 1' >1' Floor Debris: No Visible/Fine Layer % to 1' > 1' Floor____ Debris: No Visible/Fine Layer h to 1' >1. Floor____ Debris: No Visible/Fine Layer 14 to? > 1*

Comments

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

NYC-WTC 000116971