Asbestos inspection form for 106 Greenwich Street

NYC 9/11 Public Portal Document

.WTC Visual Survey Form ,Premise Address:

Block: Resi entiaT Comme ial 0 Name of Building: Lot: Mix Use her # of Stories: AKA's: Building Owner/Management:,, 1j,,.-~ ? - Telephone Number: ( ) Name: " FAX:( ) Address: On Site Contact: Name: * * Telephone Number: ) Building Owner Management Activities Interior Survey Performed ❑ Yes ❑ No Exterior Survey Performed ❑ Yes ❑ No General Clean Up ❑ Yes ❑ No Locations: ACM Clean Up ❑ Yes ❑ No Locations: Air Monitoring ❑ Yes ❑ No Locations: Copies of All Reports and Data Requested Yes

Visual Inspection Results: Facade: Inspected Debris North . /A ❑ Yes ❑ No ❑ No Visible/Fine Layer ❑ Va to 1" ❑ > 1" South /A ❑ Yes ❑ No ❑ No Visible/Fine Layer ❑'/a to 1" ❑ > 1" East D N/A Yes ❑ No No Visible/Fine Layer ❑ V to 1" ❑ > 1" West MN/A ❑ Yes ❑ No ❑No Visible/Fine Layer ❑'/a to 1" ❑ > 1" Facade Desc

Roof

Debris: ❑ No Visible /Fine Layer ❑ % to 1" ❑ > 1" Description:

Setbacks N/A ❑ Floor: Debris: ❑ No Visible/Fine Layer ❑ Va to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer ❑ % to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer ❑ %a to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer ❑ Va to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer 0 V to 1" ❑ > 1"

Comments

Date: / /2002 Inspection Team: Name: Agency: Name: Agency:

NYC-WTC 000128643