WTC Visual Survey Form, 69 Greenwich Street, Nov 2001

NYC 9/11 Public Portal Document

WTC Visual SurveyEcrm Premise Address: .Z ---- ' l~

Block: Residential Commercial I Na, e of Buildin Lot: Mix Use Other i # of Stories: AKA's: Building Owner anaga nt: 1 Telephone Number: ( ) {tea Name: Address: On Site Contact: Name: ) Telephone Number: Building Owner Management Activities Interior Survey Performed [. es ❑ No -_ Exterior Survey Performed .RYes ❑ No aj General Clean Up [. Yes J No Locations: c ACM Clean Up ❑ Yes No . Locations: Air Monitoring [2es o Locations: Copies of All Reports and Data Requested Yes Visual Inspection Results: Facade: Inspected Debris North N/A ❑ Yes Q No ❑ No Visible/Fine Layer ❑ %2 to 1" South ''N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer ❑ Y2 to 1" East ❑ N/A Eyes ❑ No ❑ No Visible/Fine Layer ❑ % to 1" West [] N/A .[Yes ❑ No ❑ No Visible/Fine Layer ❑ %2 to 1" Facade Description: ut

Roof t N Debris: No Visible /Fine tayer ❑ % to 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 ❑ V2 to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer ❑ %2 to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer ❑ % to 1" ❑ > 1" Comments

•

Date: // 14 /2002 Inspection Team: Name: 'v Agency: C Name: Agency:

NYC-WTC 000128343