Asbestos inspection form for 114-120 Greenwich Street

NYC 9/11 Public Portal Document

WTC Visual Survey Form r Premise Address:

Block: Lot: Residential Mix Use D d Other Commercial Name of Building:

# of Stories: AKA's: Building Owne n emen Telephone Number. (- u )74 1 Name: FAX: Address: On Site Contact Name: Telephone Number: Building Owner Management Activities Interior Survey Performed 0 Yesigpo Exterior Survey Performed ❑ Yes o General Clean Up1 ' es ❑ No Locations: ACM Clean Up ❑ Yes I Jo Locations: Air Monitoring ❑ Yes QNo Locations: Copies of All Reports and Data Requested 9 Yes

Visual Inspection Results: Facade: Inspected Debris North UA ❑ Yes ❑ No ❑ No Visible/Fine Layer ❑Mato 1" 0>1" South /A ❑ Yes ❑ No ❑ No Visible/Fine Layer ❑%to 1" 0>1" East ON/A .,des ❑ No ❑ No Visible/Fine Layer ❑Y2to1" 0>1" West N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer ❑%to1" 0>1" Facade De~.

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

Setbacks N/A ❑ Floor Debris: ❑ No Visible/Fine Layer ❑34to1" 0>1" Floor. Debris: ❑ No Visible/Fine Layer ❑'/ to l" 0>1" ❑ Floor. Floor. Floor. Debris: ❑ No Visible/Fine Layer Debris: ❑ No Visible/Fine LayerDYato Debris: ❑ No Visible/Fine Layer ❑%to1" 1* " ❑>1"" 0>1"

Comments ( o¼, \\Lc a QQ

Date: /=002 Inspection Team: Name: Agency: ENTERED Name: Agency:

NYC-WTC 000128615