WTC debris inspection form, 113 Chambers Street, 2002

NYC 9/11 Public Portal Document

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WTC Visual Survev Form Premise Address: i Block: Residential fl Commercial I I 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 ❑ Yes ❑ No Locations: Copies of All Reports and Data Requested Yes

Visual Inspection Results: Facade: Inspected Debris North • N/A Q Yes ❑ No ❑ No Visible/Fine Layer E]'/2 to 1" 0>1" South N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer 0 '/2 to 1" 0>1" O 0>1" East ❑ N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer [:]'/2 to l" West ❑ N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer E]'/2 to 1" 0>1" Facade Description:

1 tti1G r' c — Ci) ,A 5 'r r 1 i

Roof

Debris: No Visible /Fine Layer F. ❑'/2 to 1" ❑ > 1" Description: f r'L ; c f ~.~ t ? S'

Setbacks N/A R Floor: Debris: ❑ No Visible/Fine Layer 0'/2 to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer 0'/2 to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer 0'/2 to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer ❑ '/2 to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer ❑ '/2 to 1" ❑ > 1"

Comments

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