WTC debris inspection form, 102 Greenwich Street

NYC 9/11 Public Portal Document

WTC Visual Survey Form r Premise Address:

Block: Residential 0 Commercial L Name of Building: Lot: Mix UseD Other # of Stories: tc AKA's: Building Owne,zMnajement7 k II Telephone Number:; Name: FAX: .-.- .-.-.-.-.-.-.-.-.-. .-.-.-.-.-.-.-.-.-.-.-.-.-.-.-.-.-. Address: On Site Contact: Name: Telephone Number: Building Owner Management Activities Interior Survey Performed ❑ Yes ,No Exterior Survey Performed ❑ Yes IJNo General Clean Up Q es ❑ No Locations: ACM Clean Up ❑ Yes No Locations: Air Monitoring ❑ Yes No Locations: Copies of All Reports and Data Requested Yes

visual inspection Kesuits: Facade: Inspected Debris North b'fl/A ❑ Yes ❑ No ❑ No Visible/Fine Layer ❑'/z to l" O>1" South 3N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer ❑/ztol" ❑>1" East ❑ N/A s ❑ No ❑ No Visible/Fine Layer ❑/ztol" ❑>1" West E N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer ❑/ztol" ❑>1" Facade Descrip ion:

Roof

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

Setbacks N/A ❑ Floor: Debris: ❑ No Visible/Fine Layer ❑%tol$ ❑>1" Floor: Debris: ❑ No Visible/Fine Layer ❑/ztol" ❑>1" Floor: Debris: ❑ No Visible/Fine Layer to 1" n/s O>1" Floor: Debris: ❑ No Visible/Fine Layer ❑'/tol" ❑>1" Floor: Debris: ❑ No Visible/Fine Layer to l" n'/ F> 1"

Date: / /2002 Inspection Team: Name: Agency: Name: Agency:

NYC-WTC 000128547