WTC Visual Survey Form, 83 Greenwich Street, Nov 2001

NYC 9/11 Public Portal Document

WTC Visual Survey Form PremiseAddress:

Block: Residential 0 Commercial 0 I Name of Building: Lot: Mix Usefl Other # of Stories: AKA's: Building Owner/Management: Telephone Number: ( ) Name: FAX: Address: On Site Contact: o N f~ Telephone Number. Name: • ' .' . 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 ❑ Yes ❑ No Locations: Copies of All Reports and Data Requested I Yes

Visual inspection Results: Facade: Inspected Debris North ❑ N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer ❑ % to l" O>1" South ❑ N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer ❑ 34 to 1" O>1" East ❑ N/A es ❑ No ❑ No Visible/Fine Layer to 1" or1" West ❑ N/A es ❑ No ❑ No Visible/Fine Layer D4 to 1" > 1" Facade Description:

Roof

Debris: ❑ No Visible /Fine Layer ❑ % to 1" ❑ > 1" Description:

Setbacks N/A ❑ Floor. Debris: ❑ No Visible/Fine Layer ❑'/ to 1" O>1" Floor. Debris: 0 No Visible/Fine Layer 0 % to 1" ❑ > 1" Floor: Debris: 0 No Visible/Fine Layer ❑ % to 1" ❑ > 1" Floor. Debris: ❑ No Visible/Fine Layer ❑'h to 1" ❑ > 1" Floor. Debris: ❑ No Visible/Fine Layer ❑ 34 to 1" ❑ > 1"

Comments t 11 /v,le

Date: / /202 Inspection Team: Name: Agency: ~I Y~ 3 E T ER Name: Agency: t

NYC-WTC 000128384