WTC debris inspection form, 108 Greenwich Street

NYC 9/11 Public Portal Document

WTC Visual Survey Form Premise Address: g Block: Residential 0 Com rcial Name of Building: Lot: Mix Use El Other # of Stories: AKA's: Building OwnerlManagernen 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 J Yes

Visual Inspection Results: Facade: Inspected Debris North /A ❑ Yes 0 No ❑ No Visible/Fine Layer D 3 to 1" ❑ > 1" South East N/A ❑ N/A ❑ Yes ❑ No ''Yes ❑ No ❑ No Vsible/Fine Layer s -No VSible/Fine Layer ❑ % to 1" ❑ % to 1" H>1" > 1"

West /A ❑ Yes ❑ No ❑ No Visible/Fine Layer ❑ h to 1" 0>1" Facade Description:

Debris: ❑ No Visible /Fine Layer 034101" 0>1" Description:

Setbacks N/A ❑ Floor. Debris: ❑ No Visible/Fine Layer ❑Y2 to 1" ❑ > 1" Floor. Debris: ❑ No Visible/Fine Layer ❑ % to 1" ❑ > 1" Floor. Debris: ❑ No Visible/Fine Layer ❑ % to 1" ❑ > 1" Floor Debris: ❑ No Visible/Fine Layer ❑ Va to 1" 0> 1" Floor. Debris: ❑ No Visible/Fine Layer ❑ h to I" > 1"

Comments

Date: Inspection Team: Name: " ' Agency: y ' Name: Agency:

NYC-WTC 000128541