WTC visual survey form, 133 Greenwich Street

NYC 9/11 Public Portal Document

WTC Visual Survey Form Premise Address: 3 \ 3 e:--& N c S Block: Residential D Commercial Name of Building: Lot: Mix Use 0 Other # of Stories: AKA's: Building Owner/Management 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 0 Yes ❑ No Locations: ACM Clean Up 0 Yes 0 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 ❑Y s❑No ❑ No Visible/Fine Layer DYatol" 0>1" South ❑ N/A ; 'UYes ❑ No No Visible/Fine Layer ❑Ytol" 0>1" East ❑ N/A ❑ Yes Q No ❑ No Visible/Fine Layer ❑ 1Ato1" 0>1" West [] N/A d es ❑ No .Q' o Visible/Fine Layer 0/ato1" 0>1" Facade Description:

Roof

Debris: ❑ No Visible /Fine Layer ❑'/s to 1" ❑ > 1" Description: V / - ./I

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

Date: ION /7 fE/2o Inspection Team: Name:__ ' ~~-- ' Agency: Name: Agency:

NYC-WTC 000134005