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Asbestos Inspection Results Form, 94 Chambers Street

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Form recording visual inspection results and facade conditions for asbestos at 94 Chambers Street.

NYC-WTC_000122149–000122152

Folder label: “94 CHAMBERS ST 1001468, 135/19

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NYC 9/11 Public Portal Document

7 WTC Visual Survey Form Premise Address: 9 Che4.1bQ-Y rzeaF Block: Residential U Commercial J Name of Building: Lot: Mix Use 1 Other # of Stories: AKA's: Building Owner/Management: /20 Park ra'. fj Telephone Number: (7/B )~ •9 —ca•/ 7 Name: f}14/ 17 • >r FAX: Address: On Site Contact: Name: ke"r f1 ,jQ'bs Tei+a..h Telephone Number: 21 Z Z Z7-3'4 Building Owner Management Activities Interior Survey Performed ❑ Yes 0 No Exterior Survey Performed 0 Yes 0 No General Clean Up ®Yes ❑ No Locations: SN Apt 3 r -'-"c cW _ ACM Clean Up 0 Yes 0 No Locations: Air Monitoring 0 Yes 0 No Locations: Copies of All Reports and Data Requested DYes

visual inspection rcesuits: Facade: Inspected Debris North 0 N/A ®'Yes 0 No [g( No Visible/Fine Layer 04 to 1" 0> 1" South ❑ N/A ❑ Yes 0 No ((~] No Visible/Fine Layer ❑'/ to 1" ❑ > 1" East ON/A ❑YesDNo O No Visible/Fine Layer 0 "4 to 1" ❑ > 1" West ON/A ❑YesDNo O No Visible/Fine Layer ❑ 34 to 1" ❑ > 1" Facade Description:

Roof

Debris: fi 4sible•/Fine Layer ®Y: to 1" 0>1" Description: Al--A Like t'4rns e v 4 vi M' ç , L d / Jbr+ c .

Setbacks NAP Floor. Debris: 0 No Visible/Fine Layer ❑ % to 1" 0> 1" Floor: Debris: 0 No Visible/Fine Layer ❑ % to? ❑ > 1" Floor: Floor: Floor. Debris: 0 No Visible/Fine Layer Debris: 0 No Visible/Fine Layer 03 % to 1" to 1" Debris: 0 No Visible/Fine Layer 0 Y: to V 0>? ❑ > 1" ❑ > 1"

Comments 1 // .- Clot1.F/7 4O o1{, N 1Ge

4

Date: 0/! 24- 12002 Inspection Team: Name: R • F/ r' c& Agency: Ui 6/'A Name: C•RGi'7, /A.✓ Agency: 4►C.scP.

NYC-WTC 000122149

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NYC-WTC_000122149Source: NYC Law Department, mirrored locally

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