WTC Building Inspection Form, 303 Greenwich Street

NYC 9/11 Public Portal Document e

WTC Visual Survey Form Premise Address: Block: Residential CommerclaljJ Name of Building: Lot Mix UseD 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 9 Yes No Locations: Copies of All Reports and Data Requested p Yes

Visual Insoection Results: Facade: in pected Doris North 9 A Yes No o Visible/Fine Layer % to 1' >1' South A Yes No No Visible/Fine Layer % to T, >V East kN/A Yes No No Visible/Fine Layer 34 to 1 >1' West A Yes No No Visible/Fine Layer YatO 1" ❑ > 1' Facade Description:

Roof Debris: j 'No Visible /Fine Layer .9% to 1' 0 > 1" Description:

Setbacks N/AL] Floor___ Debris: 9 No Visible/Fine Layer 34 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 34 to 1" > 1' Floor: Debris: No Visible/Fine Layer % to 1' > 1" Comments

Date: .S / 123Q2F t. Inspection Team: Name: )L Name: Agency:

NYC-WTC 000134652