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: lMixUseO Other # of Stories: i AKA's: Building Ow r anagement: Telephone Number: (2j. ) ~'3 3 - l 3o-. Name: N '1 ~- r" FAX: ` Address: On Site Contact: Name: " " Telephone Number. Building Owner Management Activities Interior Survey Performed es ❑ No Exterior Survey Performed es❑ No General Clean Up ❑ Yes ❑ No Locations: ' ACM Clean Up ❑ Yes,2lo Locations: ,Jr Monitoring „Q,'Yes ❑ No Locations: Copies All Reports and Da Veguestei I J Yes

Visual Inspection Results: Facade: Inspected Debris North N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer 0%to1" ❑>1" South N/A ❑Yes ❑ No ❑ No Visible/Fine Layer ❑ %to 1" 0>1" East ❑ N/A ,des ❑ No No Visible/Fine Layer ❑%to1" 0>1" West EN/A ❑ Yes No ❑ No Visible/Fine Layer ❑%to1" 0>1" Facade Description:

Roof

Debris: Visible /Fine Layer ❑ va to 1" 0>1" Description;

Setbacks N/A ❑ Floor. Debris: ❑ No Visible/Fine Layer ❑ % to 1" ❑ > 1" Floor: Debris: fgNo Visible/Fine Layer 0 % to 1" ❑ > 1" Floor: Debris: o Visible/Fine Layer ❑'A to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer ❑'%z to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer [] % to 1" ❑ > 1"

Comments k L çQga

Date: J/ 2) /2002 Inspection Team: Name: - LvC 1~4w1 Agency: Name: Agency: 1

NYC-WTC 000128602