Blank inspection form for asbestos and air monitoring at 137 Greenwich Street.
NYC-WTC_000134454–000134455Folder label: “137 GREENWICH 1001038, 52/10”
OCR status: ok · source: pdftotext
NYC 9/11 Public Portal Document
WTC Visual Survey Form Premise Address:
Block: Residential 0 Commercial Name of Building: Lot: Mix Use Other # of Stories: AKA's: Building Owner/Management: Telephone Number: ( ) Name: 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 ❑ Yes ❑ No Locations: ACM Clean Up ❑ Yes ❑ No Locations: Air Monitoring Q Yes 9 No Locations: Copies of All Reports and Data Requested Yes
Visual Inspection Results: Facade: Inspected Debris North ❑ N/A ❑ No Visible/Fine Layer OVatol" 0>1" South ❑ N/A ❑ Yes [] No fl No Visible/Fine Layer %to1" 0> 1" East ❑N/A 0 Yes 9No Q No Visible/Fine Layer ❑vto1" 0>1" West [] N/A V s [] No " o Visible/Fine Layer p%to1" 0>1" Facade Description:
Roof Debris: Visible /Fine Layer =j a to 1" '° :a ❑ > 1" Description:
Setbacks N/AD Floor. Debris: [] No Visible/Fine Layer ❑ % to 1" 0>1" Floor. Debris:D No Visible/Fine Layer ❑ % to 1" ❑ > 1" Floor. Debris: ❑ No Visible/Fine Layer [] % to 1" 0> 1" Floor: Debris: 0 No Visible/Fine Layer ❑ Va to 1" 0> 1" Floor. Debris: 0 No Visible/Fine Layer ❑%% to 1" 0> 1" Comments
Date: L ,t Inspection Team: Name: Agency: Name: Agency:
NYC-WTC 000134454
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Document page header identifying the location as 137 Greenwich Street with associated block and lot numbers.
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License agreement between NYC DEP and Tara Corp regarding cleanup of exterior areas at 137 Greenwich Street.
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