83 GREENWICH ST 1000799, 19/19

NYC 9/11 Public Portal Document

WTC Visual Survey Form Premise Address: •

Block: Residential Commerci Name of Building: Lot: Mix Use J Other # of Stories: J AKA's: Building Owns Management: Telephone 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 D Yes ❑ No Locations: Air Monitoring ❑ Yes ❑ No Locations: Copies of All Reports and Data Requested Yes

Visual Inspection Results: Facade: Inspected Debris North ❑ N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer ❑%to1" ❑>1"-• South ❑ N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer ❑vato 1" 0>1" East ❑ N/A 'Yes ❑ No 'No Visible/Fine Layer ❑Vto1" ❑>1" West ❑ N/A res ❑ No [?No Visible/Fine Layer ❑%to1" ❑>1" Facade Description:

Roof

Debris: - ç,Zo Visible /Fine Layer ❑ V to 1" ' ❑ > 1" Description:

Setbacks N/A ❑ Floor: Debris: ❑ No Visible/Fine Layer ❑ 6 to 1" O>1" Floor. Debris: ❑ No Visible/Fine Layer ❑ 4 to 1" O>1" Floor: Debris: ❑ No Visible/Fine Layer ❑ 4 to 1" O>1" Floor: Debris: ❑ No Visible/Fine Layer ❑ V to 1" ❑>1" Floor. Debris: ❑ No Visible/Fine Layer ❑ % to 1" O>1" Comments

I~C/N V► Vf +r .M Date: Inspection Team: Name: Agency: Name: Agency:

ENTER NYC-WTC 000128373