WTC facade inspection form, 87 South Street, Block 72 Lot

NYC 9/11 Public Portal Document J WTC Visual Survey Form /COI/y( Promise Address: • Block: Residential p Commerclar J Name of Building: Lot: Mix Use 0 Other # 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 No Exterior Survey Performed Yes No General Clean Up Yes No Locations: ACM Clean Up Yes No Locations: Air Monitoring YesL J No Locations: Copies of All Reports and Data Requested Yes

Visual Inspection Results: Facade: Inspected Debris North N/A Yes No No Visible/Fine Layer 34 to 1' >1' South N/A Yes No No Visible/Fine Layer 34 to? >1' East N/A Yes No No Visible/Fine Layer 34 to 1' >1' West N/A Yes No H~vo Visible/Fine Layer 34 to 1' >1' Facade Description: 0 n _

RS .. Debris: ~ible /Fine Layer .934 to 1' Description:

Setbacks N/A Floor.___ Debris: No Visible/Fine Layer 36 to 1' >1' Floor:____ Debris: No Visible/Fine Layer % to 1' >1' Floor____ Debris: No Visible/Fine Layer 34 to? >1' Floor:_,_ " Debris: No Visible/Fine Layer 36th 1' >1' Floor: _ Debris: No Visible/Fine Layer 34th 1' >1' Comments

Date: iJf2OO2 Inspection Team: Name: Agency. Name: Agency:

NYC-WTC- 000117033