Residential 0
11 1 L
Name of Buildin
Block: Commercial
Lot: ,. - IMixUseD Other I S 1~-~'-T--
# of Stories: AKA's:
Building Owner anaae nt: Telephone Number. ( )
Name: AU O FAX:
Address:
On Site Contact:
Name: " " y' ` Ov Telephone Number.
Building Owner Management Activities
Interior Survey Performed g4es ❑ No
Exterior Survey Performed EYes ❑ No
General Clean Up I 'es No Locations: SSA
ACM Clean Up ❑ Yes No Locations:
Air Monitoring j2fes Locations:
~- Copies of All Reports and Data Requested p Yes
Visual Inspection Results:
Facade:
Inspected Debris
North N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer ❑ % to 1' 0>1"
South N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer ❑ % to 1' ❑ > 1'
East D N/A Yes ❑ No ❑ No Visible/Fine Layer ❑ % to 1' ❑ > 1'
West ❑ N/A Yes ❑ No ❑ No Visible/Fine Layer 034t01" 0>1"
Facade Description:
Roof s;
Debris: No Visible /Finetayer ❑Va to 1' 3 >1 1
Descriptio
Setbacks NIA ❑
Floor Debris: ❑ No Visible/Fine Layer 034 to 1' ❑ > 1'
Floor. Debris: ❑ No Visible/Fine Layer 034101" ❑ > 1"
Floor. Debris: 0 No Visible/Fine Layer ❑ Va to 1' ❑> 1 '
Floor Debris: ❑ No Visible/Fine Layer ❑ 34 to 1' ❑ > 1'
Floor. Debris: ❑ No Visible/Fine Layer ❑ % to 1' 0>1 "
Comments
Date: /_/ J 12002 Inspection Team: Name: L p►'r'•- L
Name:
c ' C-y t VW Agency:
Agency:
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NYC-WTC-000128344
OCR can misread numbers and units. Confirm readings against the page image before using them.
NYC-WTC_000128344Source: NYC Law Department, mirrored locally
A Department of Environmental Protection form recording facade and ACM inspection results for a building at 275 Greenwich Street dated February 12, 2002.