WTC debris inspection form, 96 Greenwich Street

NYC 9/11 Public Portal Document

WTC Visual Survey Form Premise Address: Q

Block: Residential CommerciaI Name of Building: Lot: r Mix Use J Other # of Stories: AKA's: Building Owna1Management: Telephone Number: ( ) Name: FAX: Address: On Site Contact: Name: * Telephone Number: Building Owner Mana ement 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: Facade: Inspected Debris North ❑ N/A ❑ Yes ❑ No No Visible/Fine Layer ❑%to1" 0>1" South ❑ N/A ❑ Yes ❑ No No Visible/Fine Layer ❑ % to 1" 0>1" East ❑ N/A ❑ Yes ❑ No No Visible/Fine Layer ❑%to1" 0>1" West ❑ N/A ❑ Yes ❑ No No Visible/Fine Layer ❑%to 1" 0>1" Facade Description:

Roof

Debris: ❑ No Visible /Fine Layer ❑'/to1"^ Description:

Setbacks N/A ❑ Floor: Debris: [] No Visible/Fine Layer ❑ 6 to 1" ❑ > 1" Floor: Debris: 0 No Visible/Fine Layer ❑V:to 1" ❑ > 1" Floor: Debris: 0 No Visible/Fine Layer ❑ > 1" Floor: Floor: Debris: ❑ No Visible/Fine Layer O V to 1" % to 1" Debris: ❑ No Visible/Fine Layer ❑ Va to 1" ❑ > 1" ❑ > 1" Comments

Date: C) I_"! /2OO2 Inspection Team: Name: (.// '1 ` mil,__. Agency: Name: Agency: N T E RE

NYC-WTC 000128484