Asbestos inspection form for 125 Greenwich Street

NYC 9/11 Public Portal Document L1

WTC Visual Survey Form Premise Address:

Block: Residential 0 Commerci Name of Building,C Lot: Mix Use Other # of Stories: AKA's: Building Owner/Management Telephone Number: ( ) Name: FAX: Address: On Site Conta Name: U t f ø#1lephone Number: Building Owner Management Aôtivlties Interior Survey Performed ❑ Yes ❑ No Exterior Survey Performed ❑ Yes ❑ No General Clean Up ❑ Yes Q No Locations: ACM Clean Up ❑ Yes ❑ No Locations: Air Monitoring ❑ Yes O No Locations: Copies of All Reports and Data Requested Yes Visual Inspection Results: Facade: Inspected Debris North ❑ N/A ❑Yes❑No ❑ No Visible/Fine Layer ❑'hto l" O>1" South ❑ NIA ❑ Yes ❑ No ❑ No Visible/Fine Layer ❑Ytol" ❑>1" East ❑ N/A ❑Yes❑No ❑ NNoo Visible/Fine Layer ❑Mato l" O>1" West ❑ N/A ` ~~es-❑ No ' Visible/Fine Layer ❑Yato1" ❑>1" Facade Description:

Roof

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

Setbacks N/A ❑ Floor. Debris: ❑ No Visible/Fine Layer 0 V to 1" ❑ > 1" Floor. Debris: O No Visible/Fine Layer ❑ Ya to 1" ❑ > 1" Floor. Debris: O No Visible/Fine Layer 0 V to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer ❑ Ys to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer ❑ h to 1" ❑ > 1" Comments 7

Date: ' I" /2002 Inspection Team: Name: l- / 1 ' `— Agency: Name: Agency: ENTERS NYC-WTC 000128647