WTC Facade Inspection Form, 100 Chambers Street

NYC 9/11 Public Portal Document

WTC Visual Survey Form Premi dd ss: [/ Y

Block: i Residential Commercial Name of Building: Lot: ' Mix Use 3 Other # of Stories: AKA's: Building Owner/Management: Telephone Number; PII Name • f, - ~. ! '~~ a LJ~ ~ FAX: ('- ) -zi ? - a 3x -r y ._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._._. ._._.__ Address: -•_ _._._.__ _._._ _._._._._._._._._._._._ P11 _•__._._._._._._._._._._._._._._._._._._._._._._._._~ 4. 1. ._. ..._._._._._._._._._._._._._._._._._._._._._._._._._._._._._: On Site Contact- --------- Name: Telephone Number: ( ) Building Owner Management Activities firm'<f " , c, Interior Survey Performed [JYes ❑ 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 Kesults: Facade: Inspected Debris North ❑ N/A 0 Yes ❑ No ❑ No Visible/Fine Layer ❑'/2 to 1" [2 >1" South ❑r N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer ❑ / to 1" [2 >1" East E3 N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer ❑'/ to 1" ❑ > 1" West ❑ N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer ❑ % to 1" ❑ > 1" Facade Description: Z.r. L✓~4'{ KC t'~t

Roof

Debris: ❑ No Visible /Fine yer ❑'/2 to 1" 1 '{'"' [2 >1" / Description - r , r fc~'S <~ r u A lf f(/ 1 `~s(~~~1 l ~~ C~. ~Cu.(C t /f (Lr //6t

Setbacks N/A Floor: Debris: ❑ No Visible/Fine Layer ❑'/ to 1" [2 >1" Floor: Debris: ❑ No Visible/Fine Layer ❑ Y2 to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer ❑ Y2 to 1" [2 >1" Floor: Debris: ❑ No Visible/Fine Layer ❑ /2 to 1" [2 >1" Floor: Debris: ❑ No Visible/Fine Layer ❑'/ to 1" [2 >1"

Comments . L ✓ t ,+C. T Vre,f 1 C ~i '1N Jr/'t 1: fC i' /t ;

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Date: Z / C '1 /2002 Inspection Team: Name: r> E Agency: L' "t7 Name: /- r.,,,'. ,~ ~~.. Agency: i',

NYC-WTC 000122059