Building inspection form, 133 Greenwich Street

NYC 9/11 Public Portal Document

WTC Visual Survey Form Premise AddreS ; s c1 Block: Residential 0 CommerciaF Name of Building: Lot: I Mix Use J Other # of Stories: AKA's: Building Owner/Management Telephone Number. ( ) Name: a FAX:( Address: On Site Contact Name: ' ' !v Telephone Number. Building Owner Management Activities Interior Survey Performed ❑ Yes ❑ Nom i4 Exterior Survey Performed Yes No V'c General Clean Up ❑ Yes ❑ No Locations: ❑ ❑

ACM Clean Up ❑ Yes ❑ No Locations: Air Monitoring ❑ Yes ❑ No Locations: Copies of All Reports and Data Requested Yes

Visual Inspection Results:

Inspected Debris North /A ❑ Yes ❑ No ❑ No Visible/Fine Layer ❑ %z to 1" ❑ > 1" South ❑ N/A Ys ❑ No ❑ No Visible/Fine Layer ❑ Va to 1" > 1" East j NIA ❑ Yes ❑ No ❑ No Visible/Fine Layer ❑ % to 1" J> 1" West tJ/A ❑ Yes ❑ No ❑ No Visible/Fine Layer ❑ Va to 1" ❑ > 1" Facade Description:

Roof Debris: „j"o Visible /Fine Layer ❑ V2 to 1" ( > I" Description: /

Setbacks N/A ❑ Floor: Debris: 0 No Visible/Fine Layer 034 to? ❑ > 1" Floor Debris: ❑ No Visible/Fine Layer ❑ Va to 1" ❑ > 1" Floor. Debris: ❑ No Visible/Fine Layer ❑ Va to 1" ❑ > i" Floor. Debris: ❑ No Visible/Fine Layer ❑ % to? ❑ > 1" Floor. Debris: ❑ No Visible/Fine Layer ❑ % to 1" ❑ > 1" Comments

Date: \ / /2002 Inspection Team: Name: Agency: Name: Agency:

NYC-WTC 000134090