Asbestos Inspection Results Form, 92 Chambers Street

NYC 9/11 Public Portal Document

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WTC Visual Survey Form Premise Address: 9Z CfjombeY Street Block: Residential Commercial J Name of Building: Lot: Mix Use Other # of Stories: AKA's: Building Owner/Management: F-iamtx=rder 4rz0n kavzrTelephone Number: ( ) Name: FAX: ( ) Address: On Site Contact: 7e 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 K8SUIrS: Facade: Inspected Debris North ❑ N/A 'Yes ❑ No No Visible/Fine Layer ❑'/2 to 1" 0>1" South ❑ N/A ❑ Yes ❑ No tJ No Visible/Fine Layer ❑ % to 1" ❑ > 1" East ❑ NIA ❑ Yes ❑ No ❑ No Visible/Fine Layer ❑ % to 1" ❑ > 1" West ❑ N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer. ❑'/ to 1" ❑ > 1" Facade Description:

Roof

Debris: ®Nie-Vici14e /Fine Layer j'/2 to 1" 0>1" Description: fir+ Lr //%ke )14t4 d y ewrj

Setbacks N/A ice+, Floor: Debris: ❑ No Visible/Fine Layer 0'/2 to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer ❑'/ to 1" ❑> 1" 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 ❑ % to 1" ❑ > 1"

Comments 4r»~czC% A.•- cwnes. A(o &ce(- & R- le ,

Date: Oil 24-/2OO2 Inspection Team: Name: /e Agency: USED, Name: R • R4P7/k cif/A'v Agency: Myc .a EP

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NYC-WTC 000122117