Asbestos inspection form for 110 Greenwich Street

NYC 9/11 Public Portal Document

WTC Visual Survey Form PrerrIse , ress: " 2Pn' - w" -' - Block: Residential O Commercial j J Name of Building: Lot: Mix Use J Other # of Stories: AKA's: ✓/o r~~h ....: c. •- . ._._._._._._._._._._._._.-._._._._._._._._._._._._._., Building ne Ma gement: Telephone Number: Name: ¼t Z ' FAX:( P ~1 Address: On Site Co t: Name: -\ \a G I' o Telephone Numbers P11 Building Owner Manageme t Activities ............................................................... Interior Survey Performed )'es ❑ No Exterior Survey Performed ayes ❑ No General Clean Up... 'Yes ❑ No Locations: ACM Clean Up ❑ Yes o Locations: Air Monitoring ❑ Yes No Locations: Copies of All Reports and Data Roquested es /~ Visual Inspection Results: Facade: Inspected Debris North N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer ❑ Y2 to 1" O>1" South /A ❑ Yes ❑ No ❑ No Visible/Fine Layer ❑Y to 1" O>1" East ❑ N/A Yes ❑ No ❑ No Visible/Fine Layer ❑ % to 1" ❑ > 1" West ❑ N/A es ❑ No ❑ No Visible/Fine Layer ❑ % to 1" O>1" Facade Description: .,

Roof S'

Debris: ❑ No Visible /Fine yer ' to 1" 1 ~^"~` O>1" Description:

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

Comments

Date: Inspection Team: Name: •Tr 1 Ft IV< Agency: '~ o Name: Agency:

NYC-WTC 000128612