WTC Visual Survey Form, 83 Greenwich Street, Nov 2001

NYC 9/11 Public Portal Document

WTC Visual Survey Form Premise Address: 44 T j pace Block: Residential O Commercial J Name of Building: Lot: Mix Use j J Other # of Stories: AKA's: Building Owner/Management Telephone Number. ( ) Name: ms,,.oU . 'e FAX: Address: On Site Contact: Name: P11 Telephone Number' PH Building Owner NiCanagement 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 Yes visual inspection Results:

Inspected Debris North ❑ N/A 1Yes ❑ No ❑ No Visible/Fine Layer 0 % to 1" O>1' South ❑ N/A QYes ❑ No O No Visible/Fine Layer ❑% to? ❑ > 1" East ❑ N/A Yes ❑ No ❑ No Visible/Fine Layer I Va to 1" ❑ > 1" West ❑ N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer ❑ % to 1" O>1' Facade Description:

Roof

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

Setbacks N/A ❑ Floor. Debris: ❑ No Visible/Fine Layer ❑'% to 1" ❑ > 1" Floor. Debris: ❑ No Visible/Fine Layer ❑ Va to 1" ❑ > 1" Floor. Debris: ❑ No Visible/Fine Layer ❑ % to? O>? Floor. Debris: No Visible/Fine Layer Va to? ❑ > 1" Floor. Debris: No Visible/Fine Layer 03: to? ❑ > 1' Comments

Date: 3 /N24 /2C2 S fl inspection Team: Name: P#WrI,0,W11 / Agency: 2) P. Name: Agency:

NYC-WTC 000128385