67 GREENWICH STREET 1000796, 19/11

NYC 9/11 Public Portal Document

WTC Visual Survey Form Premise Address: ' l '

Block: 2. - \ \ Residential El Commercial El Name of Building: Lot: Mix Use ❑ Other ❑ # of Stories: -. AKA's: Building Ownecl anagement: VA C, _ C ft -- telephone Number:[ Ph ii Name: 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, Xes ❑ No Locations: ACM Clean Up ❑ Yes [J$lo Locations: Air Monitoring ❑ Yes ! .t _- Locations: Copies of All Reports and Data Requested ❑ Yes

Visual Inspection Results: Facade: Inspected Debris North [LA ❑ Yes ❑ No QNo Visible/Fine Layer ❑ 1/2 to 1" ❑ > I" South ❑ NIA Yes ❑ No No Visible/Fine Layer ❑ % to 1" , -> 1" East ❑ N/A Yes ❑ No No Visible/Fine Layer ❑ / to 1" > 1" West ❑ N/A Yes ❑ No No Visible/Fine Layer ❑ Y2 to 1" > 1" Facade Description:

Roof

Debris: ❑ No Visible /Fine ayer ❑ / to 1" 1 1" Description: t i ~'~''a~" ' C v v ..t Ci

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 ❑'/z to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer ❑ % to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer ❑ Y2 to 1" ❑ > 1"

Comments /• --~ ,J i' S c; ,~,u.~✓~— 7r b _ I

------------------------------------------------------------------------------ - P11 Date: I Z~ 12002 Inspection Team: Name: fi t-- 1 C\ M)1YL Agency: Name: Agency: JLf

NYC-WTC 000128339