Building inspection form, 133 Greenwich Street

NYC 9/11 Public Portal Document

WTC Visual Survey Form Premise Address: ~ Ch 00 Block: Residential 0 Commercial-a Name of Building: Lot: Mix Use Other # of Stories: 3, AKA's: 7 „e s / Building Owner/Management t: Telephone Number. ( ) Name: o C— FAX: ( ) Address: On Site Contact: p. Name: * " iv a 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 I Yes

Visual Inspection Results: Facade: Inspected Debris North /A ❑ Yes ❑ No ❑ No Visible/Fine Layer ❑Veto 1" 0>1" South ❑ N/A Yes ❑ No ❑ No Visible/Fine Layer ❑'/2to1" ( 1" East EN/A ❑ Yes ❑ No ❑ No Visible/Fine Layer ❑%to1" tJ>1" West N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer ❑Y2to1" 0>1" Facade Description:

Roof

Debris: tNo Visible /Fine Layer ❑ Y2 to 1" !!1> 1" Description: `

Setbacks N/A ❑ Floor: Debris: ❑ No Visible/Fine Layer ❑%to1" 0>1" Floor. Debris: ❑ No Visible/Fine Layer ❑'Y2to1" 0>1" Floor: Debris: ❑ No Visible/Fine Layer ❑%to1" 0>1" Floor: Debris: ❑ No Visible/Fine Layer ❑Mato l" D>1" Floor: Debris: ❑ No Visible/Fine Layer ❑Y2to1" 0>1"

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.~ Date: \„_/ /2002 Inspection Team: Name: Agency: r Name: Agency:

NYC-WTC 000134087