Asbestos inspection form for 114-120 Greenwich Street

NYC 9111 Public Portal Document

WTC Visual Survey Form Premise Address:

Block: ResidentI Z. Commercial p Name of Building: Lot: Mix Use D Other # of Stories: AKA's: Building 9inerIManapmpnt:1 Telephone Number. (' 1'i Name: ç.) t— - d cot' L' FAX: Address: On Site Contact: Name: " - Telephone Number Building Owner Manageme t Activities Interior Survey Performed Yes ❑ No Exterior Survey Performed Q Yes 0 No General Clean Up JA-Yes Q No Locations: ACM Clean Up Yes o Locations: Air Monitoring Yes 0 No Locations: Copies of All Reports and Data Re ueste Yes Visual Inspection Results: Facade: tinpected D ris North ❑ N/A es ❑ No No Visible/Fine Layer ❑'/s to 1" ❑ > 1" South A es ❑ No No Visible/Fine Layer ❑ h to 1" ❑ > 1" East N/A ' Yes ❑ No j allo Visible/Fine Layer ❑ h to 1" ❑ > 1" West /A es ❑ No `No Visible/Fine Layer ❑ %: to 1" ❑ > 1" Facade Des ription:

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

Setbacks N/A Floor. Debris: 0 No Visible/Fine Layer ❑ % to 1" ❑ > 1" Floor Debris: 0 No Visible/Fine Layer ❑ 4 to 1' ❑ > 1" Floor Debris: ❑ No Visible/Fine Layer ❑ 4 to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer ❑'/ to 1" ❑ > 1" Floor. Debris: ❑ No Visible/Fine Layer ❑ h to 1" 0>1"

Comments

Date I /?~' /2002 Inspection Team: Name: Name: fL Agency: Agency: 1) .1, r NYC-WTC 000128619