Asbestos inspection form for 110 Greenwich Street

NYC 9/11 Public Portal Document

WTC Visual Survey Form PremiseAddress: ~A Block: Residential O Commercial D Name of Building: Lot: Mix Use O Other # of Stories: AKA's: i/o ,'eh ;G re►.v.-.-. .-.-.-.-.-.-.-.-.-.-.-.-...-.-.-.-.-.-.-.-.-.-.-.. Building ne a gement: Telephone Number! P11 Name: C a VçW 1 FAX:( .-.-.-.-.-.-.-.-.-.-.-.-.-.-.-.-.-.-.-.-.-.-.-.-.-.-.-.... Address: OnSiteConct fl I • Name: - ^'' a r w Telephone Number P 11 Building Owner Manageme t Activities Interior Survey Performed es ❑ No Exterior Survey Performed Yes ❑ No General Clean Up Yes ❑ No Locations: ACM Clean Up D Yes o Locations: Air Monitoring ❑ Yes j No Locations: Copies of All Reports and Data Re nested es

Visual Inspection Results: v Facade: Inspected Debris North N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer ❑ % to 1" O>1" South /A ❑ Yes ❑ No ❑ No Visible/Fine Layer ❑'/a to 1" ❑ > 1" East ❑ N/A !'Yes ❑ No ❑ No Visible/Fine Layer ❑ % to 1" ❑ > 1" West ❑ N/A des ❑ No ❑ No Visible/Fine Layer ❑ Ya to 1" O>1" Facade Description: /

Roof ~~

Debris: ❑ No Visible /Fine LN yer to 1" ❑ > 1" -1 Description: J`

Setbacks N/A ❑ Floor. Debris: ❑ No Visible/Fine Layer ❑ % to 1" ❑ > 1" Floor. Debris: ❑ No Visible/Fine Layer ❑ a to 1" ❑ > 1" Floor. Debris: ❑ No Visible/Fine Layer 0 Va to 1" ❑ > 1" Floor. Debris: O No Visible/Fine Layer O % to 1" ❑ > 1" Floor. Debris: ❑ No Visible/Fine Layer 0 V to 1" ❑ > 1"

Comments

Date: // /2002 inspection Team: Name: (Al2L L4(r ' (i)r,2< Agency: _X1' Name: Agency:

NYC-WTC 000128611