WTC debris survey form, 81 Greenwich Street

NYC 9/11 Public Portal Document

'WTC Visual Survey Form . 100 Q —] G'/ Premise Address: 8' Block: Residential ~ceenvj ch 5~ , Commercial Name of Building: Lot: Mix Use . Other- 4 -~ # of Stories: AKA's: /✓ t T i Building Owner/Management Teleph a Number. ( ) 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 ❑ Yes ❑ No Locations: ACM Clean Up ❑ Yes ❑ No Locations: Air Monitoring FYes ❑ No Locations: Copies of All Reports and Data Requested Dyes

Visual Inspection Results: Facade: Inspected Debris North ❑ N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer ❑ Y to l" D> 1" South ❑ N/A ❑ Yes ❑•No ❑ No Visible/Fine Layer ❑'/z to 1" ❑ > 1" East ❑ N/A C Yes ❑ No ❑ No Visible/Fine Layer i(2 to 1" ❑ > 1" West ❑ N/A .~'~Ces ❑ No ❑ No Visible/Fine Layer J to 1" ❑ > 1" Facade Description:

Roof

Debris: ❑ No Visible /FinJ.ayer ❑'/ to 1" [1> 1" Description: CC

Setbacks N/A ❑ Floor: Debris: ❑ No Visible/Fine Layer ❑ % to 1" 0> 1" Floor: Debris: ❑ No Visible/Fine Layer ❑ %2 to 1" [1> 1" Floor: Debris: ❑ No Visible/Fine Layer ❑'/ to 1" [1> 1" Floor: Debris: ❑ No Visible/Fine Layer ❑'/2 to 1" ❑ > 1" Floor. Debris: ❑ No Visible/Fine Layer ❑'/2 to 1" ❑ > 1"

Comments

Date: Inspection by: Name: Agency: Name: Agency:

NYC-WTC 000128354