Building inspection form, 133 Greenwich Street

NYC 9/11 Public Portal Document

• WTC Visual Survey Form Premise Address: '

Block: ResidentialD Commerciaf Name of Building: Lot: Mix Use J Other # of Stories: 3 AKA's: Building Owner/Management: Telephone Number: ( ) Name: FAX:( Address: On Site Contact: Name: 0 Telephone Number: Building Owner Management Activities Interior Survey Performed ❑ Yes ❑ No 'm \/c

Exterior Survey Performed ❑ Yes ❑ No fI 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: Facade: Inspected Debris' North N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer ❑Mato 1" 0>1" South East West ❑ N/A , N/A N/A Yes ❑ No ❑ Yes ❑ No ❑ Yes ❑ No ❑ No Visible/Fine Layer ❑ No Visible/Fine Layer ❑ No Visible/Fine Layer ❑%to1" ❑ % to 1" ❑ % to 1" E>>1" 1" 0>1" Facade Description:

Roof

Debris: No Visible /Fine Layer 0 1/2 10 1" j > 1"

Setbacks N/A ❑ Floor: Debris: ❑ No Visible/Fine Layer ❑ V to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer ❑ Va to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer ❑ Y2 to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer ❑ Va to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer ❑ Va to 1" 0> 1" Comments `e)( u GA \ u

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

NYC-WTC- 000134091