Asbestos inspection form, 137 Greenwich Street

NYC 9/11 Public Portal Document 8//v 100 r 0 Cre.~hwsr-h 37 WTC Visual Survey Form /4- o'er WQ 7a Premise Address: A37 sa Block: 59.. Residential O Commercial fl Name of Building: Lot: Mix Us Other 0 # of Stories: 7 I AKA's: Building Owner anagement: Telephone Number: A) 67 o 3o t - Name: -- QvQis FAX: Address: On Site Contact: Name: e C ~~~-~ Telephone Number: 3.o,) 6'i '13a i Building Owner Management Activities Interior Survey Performed ❑ Yeq,~'No Exterior Survey Performed ❑ YesJ3No General Clean Up es ❑ No Locations: ACM Clean Up U 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 ' '/ to 1" ❑ > 1" South -N/A M Yes ❑ No ❑ No Visible/Fine Layer to 1" ❑ > 1" East .[N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer 's to 1" ❑ > 1" West ❑ N/A jYes ❑ No ❑ No Visible/Fine Layer % to 1" ❑ > 1" Facade Description:

Roof

Debris: o Visible /Fine Description:

Setbacks N/A ❑ Floor: Debris: ❑ No Visible/Fine Layer ❑'/2 to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer ❑ %: to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer ❑ % to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer ❑'/s to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer ❑ Va to 1" ❑ > 1"

Comments CC

Date: 1/ /2002 Inspection Team: Name: Agency: ir v U ' Name: Agency:

NYC-WTC-000134445