WTC property inspection form, 67 Greenwich Street

NYC 9/11 Public Portal Document

WTC Visual Survey Form ~~p/ omi -idir-A. Predlise Address: 2.... i' 's -I Block: Residential D Commercial J J Name of Building: Lot Mix UseD Other ' # of Stories: -. AKA's: w — ¶ Y4Z—j Building Owner! anagement: Telephone Number - -.-) S"a 01-O Name: by - 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, es ❑ No Locations: ACM Clean Up - ❑ Yes [lo Locations: Air Monitoring ❑ Yes [ lo_- Locations: Copies of All Reports and Data Requested J Yes

Visual Inspection Results: Facade: Inspected Debris North ILA ❑ Yes ❑ No No Visible/Fine Layer ❑ Y to 1" 0>1" South ❑ N/A es ❑ No No Visible/Fine Layer ❑Yto1" , >1" East ❑ N/A f~es ❑ No No Visible/Fine Layer ❑%to1" '>1" West ❑ N/A Yes ❑ No No Visible/Fine Layer ❑Y2to1" Facade Description: P

Roof

Debris: ❑ No visible /Fine tayer El % to 1" •7 = > 1" 1 ~"

Setbacks NIA ❑ Floor. Debris: ❑ No Visible/Fine Layer 0 Y to 1" ❑ > 1" Floor Debris: ❑ No Visible/Fine Layer ❑ % to 1" ❑ > 1" Floor. Debris: ❑ No Visible/Fine Layer ❑ Yz to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer ❑ Ys to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer ❑ YY to 1" ❑ > 1" Comments i ,J C -c ,.~,~.~. - / 4A / ` f

Date: 1/ L `-112002 Inspection Team: Name: (/ -LLLBi C A ~l ill Agency: ) --( Name: Agency: ] 'L(

NYC-WTC 000128304