Asbestos inspection form for 125 Greenwich Street

NYC 9/11 Public Portal Document 0

WTC Visual Survey Form Premise Address:

Block: Residential 0 Commerci Name of B ildin :C, Lot: Mix Use Other vt # of Stories: AKA's: Building Owner/Management Telephone Number: ( ) Name: FAX: Address: On Site Conta Name: L- Teie hone Number: Building Owner Management Aótivities Interior Survey Performed ❑ Yes ❑ No Exterior Survey Performed 0 Yes ❑ No General Clean Up 0 Yes 0 No Locations: ACM Clean Up ❑ Yes ❑ No Locations: Air Monitoring ❑ Yes 0 No Locations: Copies of All Reports and Data Requested Yes

Visual Inspection Results: Facade: Inspected Debris North ❑ N/A ❑YesQNo ❑ No Visible/Fine Layer ❑%atol" 0>1" South ❑ N/A ❑ Yes Q No ❑ No Visible/Fine Layer ❑%to l" 0>1" East ❑ N/A ❑Yes0No ❑ No Visible/Fine Layer ❑Mato l" 0>1" West ❑ N/A `d es-Q No Visible/Fine Layer ❑Mato 1" 0>1" Facade Description:

Roof . Debris: No Visible /Fine layer ❑ % to 1' ❑ > 1"

Setbacks N/A Q Floor: Debris: ❑ No Visible/Fine Layer 0 Va to 1" ❑ > 1' Floor. Debris: ❑ No Visible/Fine Layer ❑ Va to 1" ❑ > 1' Floor. Debris: ❑ No Visible/Fine Layer ❑'h to 1" ❑ > 1" Floor: Debris: 0 No Visible/Fine Layer 0 Va to 1' ❑ > 1" Floor: Debris: 0 No Visible/Fine Layer ❑ h to 1" ❑ > 1' Comments 11

Date: I" /2002 Inspection Team: Name: l- / 1 r `-

Agency: Name: Agency: ENTERS' NYC-WTC 000128647