92 CHAMBERS STREET 1001469, 135/20

NYC 9/11 Public Portal Document

WTC Visual Survey Form Premise Address: 92 -re-e-- c-hctt',beY St Block: ( 3 Residential Commercial Name of Building: Lot: Mix Use Other ❑ # of Stories: AKA's: Building Owner/Management: Hambe jear C,ren ( IM zrTelephone Number: ( ) Name: FAX: ( ) Address: r-tyc 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 Kesuits: Facade: Inspected Debris North ❑ N/A [Y'Yes ❑ No No Visible/Fine Layer ❑'/z to 1" ❑ > 1" i South ❑ N/A ❑ Yes ❑ No '❑ No Visible/Fine Layer ❑'/z to 1" ❑ > 1" East ❑ N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer ❑ 1/ 2 to 1" ❑ > 1" West ❑ N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer. ❑'/2 to 1" ❑ > 1" Facade Description:

Roof

Debris: gN +cible /Fine Layer j2 % to 1" 0>1" Description: Z ia►=+ Lm.c4/;kE - -s e t e

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

Comments :.:r+ . c f C% /Vo car c . n. ..1 7

Date: d// +/2002 Inspection Team: Name: Rrf fi furic Agency: L`-~E1W Name: R • RAC H Agency: N'Yc -Z>G

NYC-WTC-000122111