210 FRONT STREET Block: 96 Lot: 5 BIN: 1082010 211 WATER STREET. 213 WATER STREET, 127-137 BEEKMAN ST

NYC 9/11 Public Portal Document

_to%?o D Premise Address: WTC V 1 Survey Form

Block: ResidentialD Commercial 9 Name of Building: Lot: 4 Mix UseD Other jJ # of Sto es: AKA's: Buildin Owner/Management Telephone Number. ( ) Name: `c FAX: Address: On Site Contact: Name: ' ' Telephone Number Building Owner Management Activities Interior Survey Performed Yes Q No Exterior Survey Performed [] Yes No E{ a

General Clean Up Yes No Locations: ACM Clean Up Yes No Locations: Air Monitoring [] Yes 9 No Locations: Copies of All Reports and Data Requested p Yes

Visual inspection Results: Facade: lns,pected De rte North 9W,k es No o Visible/Fine Layer i4 to 1" > 1' South Nh Yes No No Visible/Fine Layer 34 to 1" > In East ❑ N/A Yes No No Visible/Fine Layer % to 1" > 1" West ❑ N/A Yes =jNo No Visible/Fine Layer 34 to? > 1" Facade Description:

Roof Debris: <o Visible /Fine Layer .9 34 to? 9>? Description:

Setbacks N/A0 Floor Debris: No Visible/Fine Layer % to? > 1" Floor. Debris: No Visible/Fine Layer % to V > 1" Floor.___ Debris: No Visible/Fine Layer % to? >1' Floor.._ Debris: No Visible/Fine Layer %to 1" >1' Floor.____ Debris: No Visible/Fine Layer % to 1" > 1' Comments

Date: 1 12002 inspection Team: Name: Agency: Name: Agency: ENTERED NYC-WTC 000129119