99 BROAD STREET Block: 7 Lot: 35 BIN: 1078965 54 Pearl Street

NYC 9/11 Public Portal Document

i f ` WTC Visual Survey Form remise Address: E Block: 7 Residential jJ ommercial Name of Building: Lot: MixUseE Other '. t; r 4V - # of Stories: AKA's Building Owner/Management,,_._„ Telephone Number. ( ) Name: c~ ,~~.,. ( , ~. { cLJ 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 9 Yes jJNo Locations: Copies of All Reports and Data Requested Yes Visual Inspection Results: Facade: Inspected Debris North ❑ N/A ❑ Yes Q No ❑ No Visible/Fine Layer % to 1" 0>1' South ❑ N/A DYesDNo O No Visible/Fine Layer %to1" ❑>1' East ❑ N/A ❑ DYesDNo ❑ No Visible/Fine Layer D%to1w D%tol ❑ West N/A fl YesDNo O No Visible/Fine Layer w 0>1 w ' Facade Description: ,) (}

Roof

Debris: No Visible /Fine Layer 0 % to V L] > 1" Description:

Setbacks NJA13.( Floor. Debris: ❑ No Visible/Fine Layer 9 % to 1" IJ> 1' Floor _ __ Debris: 0 No Visible/Fine Layer Q to 1' 0> 1' Floor. Debris: 0 No Visible/Fine Layer 0 % to 1' 0> 1" Floor Debris: ❑ No Visible/Fine Layer fJ 36 to 1' 0> 1' Floor. Debris: 0 No Visible/Fine Layer 936 to 1' 0> 1' Comments

Date: / 12002 Inspection Team: Name: ` S L-- Agency: Name: Agency:

NYC-WTC 000118281