Block: Residential J Commercial 0 Name of Building:
Lot: Mix Use j Other
# of Stories: AKA's:
Building Owner/Management: Telephone Number: ( )
Name: °- 1 FAX:
Address:
On Site Contact
Name: Lv C'C i. CE.Sco Telephone Number: (Zr L) 2I ' t2
Building Owner Management Activities
Interior Survey Performed Yes ❑ No
Exterior Survey Performed [2 Yes ❑ No
General Clean Up QYes ❑ No Locations:
ACM Clean Up ❑ Yes ❑ No Locations:
Air Monitoring 0 Yes ❑ 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 D'Yztol" 0>1"
South ❑ N/A [Yes ❑ No E No Visible/Fine Layer ❑'h to 1" 9>1"
East ❑ N/A D Yes ❑ No Q"No Visible/Fine Layer ❑Veto 1" 0>1"
West ❑ N/A B Yes ❑ No ❑ No Visible/Fine Layer Q%to 1" 0>1"
Facade Description:
w't<~vs rh
Roof
Debris: ZC No Visible /Fine tayer ❑'/z to 1" •? ~"~ ❑ > 1" 1
Description:
Setbacks N/A
Floor: Debris: ❑ No Visible/Fine Layer ❑ % to 1" ❑ > 1"
Floor: Debris: ❑ No Visible/Fine Layer ❑ % to 1" ❑ > 1"
Floor: Debris: ❑ No Visible/Fine Layer ❑ % to 1" ❑ > 1"
Floor: Debris: ❑ No Visible/Fine Layer ❑ Va to 1" ❑ > 1"
Floor: Debris: ❑ No Visible/Fine Layer ❑ % to 1" ❑ > 1"
Comments
Date: I /A/2002 Inspection Team: Name: . Agency: ' c Jye3Y
Name: IL0 Agency: n.; tj6G-
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NYC-WTC-000117623
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NYC-WTC_000117623Source: NYC Law Department, mirrored locally
A Department of Environmental Protection form recording facade and ACM inspection results for a building at 141 Greenwich Street dated February 12, 2002.
WTC debris inspection form documenting visual inspection results for facade condition, ACM assessment, and building characteristics for a 3-story structure.