Asbestos inspection form for 110 Greenwich Street

NYC 9/11 Public Portal Document

WTC Visual Survey Form Premise Address:

Block: Residenti Commercial f . Name of Building: Lot: Mix Use Other *of Stories: V AKA's: Building Ow r anagement: Telephone Number: P11 Name: ` v~ 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,jJ No Locations: Air Monitoring „jQfYes ❑ No Locations: Copies ô All Re orts and Da a ueste Yes

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

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

Setbacks N/A ❑ Floor. Debris: ❑ No Visible/Fine Layer ❑ % to 1" ❑ > 1" Floor: Debris: No Visible/Fine Layer ❑ % to 1" ❑ > 1" Floor: d{ Debris: No Visible/Fine Layer Ova to 1" ❑ > 1" Floor: Tr' Debris: ❑ No Visible/Fine Layer ❑ % to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer ❑ % to 1" ❑ > 1"

Comments •{3S L

Date: J_/_24 /2002 Inspection Team: Name: ( Name: LL l C~l Agency: )' Agency: 1

NYC-WTC 000128602