WTC debris inspection form, 94 1/2 Greenwich Street

NYC 9/11 Public Portal Document

WTC Visual Survey Form Premise Address:

Block: Resident kr- rV icL 3-m Commercia ( Name of Building: Lot: Mix Use D Other # of Stories: AKA's: Building Owner/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 ❑ 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 ❑Yatol" 0>1" South ❑ N/A ❑ Yes ❑ No O No Visible/Fine Layer ❑Yatol" 0>1" East ❑ N/A ,'Yes ❑ No No Visible/Fine Layer ❑ % to 1" 0>1" West ❑ N/A es ❑ No Pj~o Visible/Fine Layer ❑Mato 1" 0>1" Facade Description:

Roof

Debris: ❑ No Visible /Fine Layer ❑Vato1"` -. 21>1" Description:

Setbacks N/A ❑ Floor: Debris: ❑ No Visible/Fine Layer ❑ %a to 1" ❑ > 1" 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 ❑ Va to 1" ❑ > 1" Floor. Debris: ❑ No Visible/Fine Layer ❑ % to 1" ❑ > 1"

Date: Ci / /2002' Inspection Team: Name: L- U1' _ Agency: Name: Agency:

NYC-WTC 000128521