Asbestos inspection form for 110 Greenwich Street

NYC 9/11 Public Portal Document

WTC Visual Survey Form Premise Address:

Block: Residents Commercial Name of Building: Lot: Mix Use Other # of Stories: AKA's: Building Ow r anagement: Telephone Number; P11 Name: - 'C 1- FAX: -------------------------------------------------------------- Address: On Site Contact: Name: "\ 1' Telephone Number: Building Owner Management Activities Interior Survey Performed es ❑ No ~ Exterior Survey Performed es ❑ No / General Clean Up ❑ Yes ❑ No Locations: r"` ACM Clean Up ❑ Yes. No Locations: u Air Monitoring ,'Yes El No Locations: `- a -. Coles O All Reports and Data a ueste Yes

Visual Inspection Results: Facade: Inspected Debris North E N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer ❑ % to 1" ❑ > 1" South N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer ❑ Y2 to 1" ❑ > 1" East ❑ N/A , Yes ❑ No .RNo Visible/Fine Layer ❑ 4 to 1" ❑ > 1" West EN/A ❑ Yes ❑ No ❑ No Visible/Fine Layer ❑ Va to 1" ❑ > 1" Facade Description:

Roof

Debris: Visible /Fine Layer ❑'/2 to 1" ❑ > 1" Description-,

Setbacks N/A ❑ Floor: Debris: ❑ No Visible/Fine Layer ❑ Va to 1" ❑ > 1" Floor: Debris: Visible/Fine Layer ❑ Va to 1" ❑ > 1" Floor: Debris: C No Visible/Fine Layer ❑ Y2 to 1" 0>? Floor: Debris: ❑ No Visible/Fine Layer J to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer ❑ Y2 to 1" ❑ > 1"

Comments -t.._.- t

Date: / /2002 Inspection Team: Name: ,-, ti '\C ~^t? k Agency: Name: Agency:

NYC-WTC 000128601