DEP letterhead page, 56 Greenwich Street

NYC Public Portal Document 9//111

- 1 io7 77 Visual Survey Form Premise Address:

Block• Residential Commercial J Neçie of BulldJn ( Lot: / Mix Usefl Other # of Stories: I AKA's: Building OwnerlManagem t: Telephone Number. ( 2 vi,.) Lf - s ) o Name: 3s. w ) FAX: Address: On Site Contact: Name: " ' Telephone Number. Building Owner Management Activities Interior Survey Performed Q Yes Q No Exterior Survey Perform d ❑ Yes ❑ No General Clean U ® "Yes o Locations: ACM Clean Up ❑ Ye No Locations: Air Monitoring Q Yes No Locations: Copies of All Reports and Data Requested Yes

Visual Inspection Results: Facade: Inspected Debris North „0N/A ❑ Yes [] No ❑ No Visible/Fine Layer QYto1" 0>1" South ❑ N/A [ es [] No No Visible/Fine Layer ❑ 1i4 to 1" 0>1" East ❑ N/A JyYes Q No No Visible/Fine Layer ❑Yto 1" 0>1" West ❑ N/A gYes Q No j io Visible/Fine Layer ❑Mato l" 0 > 1 " Facade Description:

Roof

Debris: Visible/Fine Layer =] to 1" 0> 1" Description:

Setbacks N/A 0 Floor Debris: 0 No Visible/Fine Layer 034 to 1" c]:,. 1" Floor Debris: ❑ No Visible/Fine Layer ❑ h to 1" 0>1" Floor Debris: ❑ No Visible/Fine Layer 034 to 1" 0>1" Floor Debris: ❑ No Visible/Fine Layer 036t01" 0>1" Floor. Debris: [] No Visible/Fine Layer ❑ 4 to 1" [J>1"

Comments

Date: Inspection Team: Name: ( A'~-t-- Agency: '~=Vr Name: Agency:

NYC-WTC 000128252