Building inspection form, 133 Greenwich Street

NYC 9/11 Public Portal Document

• WTC Visual Survey Form Pnvmise Address: C Block: Residential 0 Commercial j Name of Building: Lot: Mix Use D Other # of Stories: 3 AKA's: G Building Owner/Management Telephone Number ( ) Name: l3 o ~r 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 ❑ 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 0 Va to 1" ❑ > 1" South ❑ N/A Yes ❑ No ❑ No Visible/Fine Layer ❑ Va to I" 17k> 1" East N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer ❑ % to 1" i:i> 1" West j -N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer ❑ % to I" 0>1" Facade Description:

Roof

Debris: ❑ No Visible /Fine Layer ❑ % to I" Description: vtne ",.'

Setbacks NIA ❑ Floor. Debris: 0 No Visible/Fine Layer ❑ Va to 1" ❑ > 1" Floor. ___ Debris: ❑ No Visible/Fine Layer ❑ % to 1" ❑ > 1" Floor. Debris: ❑ No Visible/Fine Layer 0 Va to 1" ❑ > 1" Floor. Debris: [] No Visible/Fine Layer ❑'/to 1" ❑ > 1" Floor. Debris: ❑ No Visible/Fine Layer ❑ Vz to 1" 0>1"

Comments 0.` c U X

Date: s_/=002 Inspection Team: Name: L 11r v Agency: G; Name: Agency:

NYC-WTC 000134094