Asbestos inspection form for 110 Greenwich Street

NYC 9/11 Public Portal Document

In WTC Visual Survey Fnrm PremiseAddress: .~ . ,neQ w~ Block: Residential O CommercialD Name of Building: Lot: Mix Use O Other # of Stories: AKA's:. //o ,•eh ....: G - .,._._. ._._. _._._._._._._._._~._._._._._._._._._._._.. Building pWnerMaqgement Telephone Number P11 Name: kt~ e' e FAX; ._._._._._._._._._._._._._._._._._._._._._._._._._._._._._. Address: On Site Co t: Name: "^''- Telephone Number. P11 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 No Locations: Copies of All Reports and Data Re uested es Visual Inspection Results: Facade: inspected Debris North N/A ❑ Yes ❑ No O No Visible/Fine Layer ❑Ys to 1" O>1" South /A ❑ Yes ❑ No ❑ No Visible/Fine Layer ❑'/2 to 1" ❑ > 1" East ❑ N/A 2'Yes ❑ No ❑ No Visible/Fine Layer ❑ % to 1" ❑ > 1" West ❑ N/A Yes ❑ No ❑ No Visible/Fine Layer ❑ Va to 1" ❑ > 1" Facade Description: P

Roof Debris: ❑ No Visible /Fine Description: 1l i

Setbacks N/A ❑ Floor Debri Floor. Debri Floor. Debri Floor. Debt Floor. Debr

Comments

Date: f / ZS 12002 Inspection Team: Name: L44L Lam-l r l co,, Agency: Name: Agency:

NYC-WTC 000128606