Asbestos inspection form for 110 Greenwich Street

NYC 9/11 Public Portal Document

WTC Visual Survey Form Premise Address:

Block: Resident Commercial Name of Building: Lot: 3 Mix Use Other # of Stories: AKA's: Building Owner/Management: Telephone Number: P11 Name: Ty '( -\C - € FAX: _._._._._._._._._._._._._._._._._._._._._._._._._._._._._._., Address: On Site Contact: ,,~ ,•~ Name: • Telephone Number: Building Owner Management Activities Interior Survey Performed es ❑ No Exterior Survey Performed J.Yes ❑ No / ,, General Clean Up ❑Yes ❑ No Locations: ^' "'` ACM Clean Up ❑ Yes. No Locations: Air Monitoring .,'Yes ❑ No Locations: Copies O All Reports and Da* leguesteI J Yes

Visual Inspection Results: Facade: Inspected Debris North N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer ❑ % to 1" O>1" South N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer ❑ % to 1" ❑ > 1" East ❑ N/A , Yes ❑ No No Visible/Fine Layer ❑ % to 1" ❑ > 1" West N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer 0½ to 1" ❑ > 1" Facade Description:

Roof

Debris: Visible /Fine Layer ❑ Y to 1" ❑ > 1"

Setbacks N/A ❑ Floor: Debris: ❑ No Visible/Fine Layer 0½ to 1" ❑ > 1" Floor: Debris: No Visible/Fine Layer ❑'/ to 1" ❑ > 1" Floor: Debris: .No Visible/Fine Layer O% to 1" ❑ > 1" Floor:' Debris: ❑ No Visible/Fine Layer ❑ % to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer ❑ %z to 1" ❑ > 1"

Comments 'J 5 1 mac: Ic

Date: J_/ 2") /2002 Inspection Team: Name: (13i -L' Name: °' Agency: Agency: I NYC-WTC 000128608