WTC visual survey form, 133 Greenwich Street

NYC 9111 Public Portal Document

WTC Visual Survey Form Premise Address: , ..— __ Ct Block: S2 Residential 0 Commerciaf Name of Building: Lot: Mix Use 0 Other # of Stories: AKA's: 7 ,, e sd--. Building Owner/Management: Telephone Number. ( ) Name: o FAX: Address: On Site Contact: '. \ j

Name: Telephone Number. Building Owner Management Activities Interior Survey Performed ❑ Yes ❑ No ' Exterior Survey Performed Yes No 1' General Clean Up ❑ Yes No ❑ ❑ Q Locations: ACM Clean Up 0 Yes No Locations: Air Monitoring ❑ Yes ❑ No Locations: Copies of All Reports and Data Requested J Yes

Visual Inspection Results: Facade: Inspected Debris North /A 0 Yes 0 No ❑ No Visible/Fine Layer ❑%tol" 0E-1>1- South ❑ N/A Yes ❑ No ❑ No Visible/Fine Layer 0'/ to 1" l ?:1" East EN/A ❑ Yes ❑ No ❑ No Visible/Fine Layer ❑%to 1" 1" West dal/A ❑ Yes ❑ No ❑ No Visible/Fine Layer ❑%to1" 0>1" Facade Description:

Roof

Debris: „ +No Visible /Fine Layer ❑ Y to 1" > 1" Description: JcJ

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

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

NYC-WTC 000134007