Asbestos Inspection Results Form, 94 Chambers Street

NYC 9/11 Public Portal Document

WTC Visual Survey Form Premise Address:

Block: Residential Commercial j J Name of Building: Lot: Mix Use9 OtherD P of Stories: AKA's: Building OwnerlManagement: Telephone Number: ( ) Name: AX: Address: On Site Contact Name: ' ' Telephone Number: Building Owner Management Activities Interior Survey Performed 0 Yes Q No Exterior Survey Performed YesI] No General Clean Up ACM Clean Up Air Monitoring E] Yes No Locations: Yes ❑ No Locations: 3 YesD No Locations: Copies of All Reports and Data Requested p Yes

Visual Inspection Results: Facade: Inspected Debris North ❑ N/A DYesDNo ❑ No Visible/Fine Layer fl %tol' 9>1' South ❑ N/A OYesDN No Visible/Fine Layer ❑ 4to1' >1' East ❑ N/A Yes N No Visible/Fine Layer 9%to1' >1' West [] N/A Yes O Visible/Fine Layer 034t01' No 0>1' Facade Description:

Roof

Debris: DNo Visible /Fine Layer El % to 1' - ' D> 1' Description:

Setbacks N/A Floor____ Debris: 9 No Visible/Fine Layer El % to 1' 9>1. Floor.___ Debris: No Visible/Fine Layer % to 1' > 1' Floor._ Debris: No Visible/Fine Layer %to 1' >1' Floor. Floor____ Debris: No Visible/Fine Layer Debris: No Visible/Fine Layer % to I' 14 to 1' H;0> 1' 1' Comments

_l„ V 12002 Inspection Team: Name: Agency: TF Name: Agency:

NYC-WTC 000122145