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Asbestos Inspection Results Form, 94 Chambers Street

Machine-extracted title · confidence 100%

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

NYC-WTC_000122156–000122157

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

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NYC 9/11 Public Portal Document

WTC Visual Survey Form Premise Address:

Block: / Residential El Commercial fJ Name of Building: Lot Mix Use Other ❑ # of Stories: AKA's: Building Owner/Management: /2o P~'k Telephone Number: (7/S - i7 Name: /12r'ke c (et xnc FAX: ( ) Address: On Site Contact: Name: ke-► F t" ,5a 's ."ems f Telephone Number: (2/2) 2Z7-3'q4 Building Owner Management Activities Interior Survey Performed ❑ Yes ❑ No Exterior Survey Performed ❑ Yes ❑ No General Clean Up Yes ❑ No Locations: Z'N Prpt 5 i ~hc r- i c. ACM Clean Up ❑ Yes ❑ No Locations: Air Monitoring ❑ Yes ❑ No Locations: Copies of All Reports and Data Requested El Yes

Visual Inspection Results: Facade: Inspected Debris North ❑ N/A Q'Yes ❑ No No Visible/Fine Layer ❑'/Z to 1" ❑ > 1" South ❑ N/A ❑ Yes ❑ No El No Visible/Fine Layer El 1/z to 1" ❑ > 1" East ❑ N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer ❑'/z to 1" ❑ > 1" West ❑ N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer ❑'/z to 1" ❑ > 1" Facade Description:

Roof

Debris: --N /Fine Layer '/z to 1" El> 1" Description: fYA44 Like tt z rr nte y //

Setbacks N/As Floor: Debris: ❑ No Visible/Fine Layer El 1/2 to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer ❑'/z to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer ❑ Vz to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer El 1/2 to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer ❑ %z to 1" ❑ > 1"

Comments N

Date: 0/1 2 1,- /2002 Inspection Team: Name: R, r% Agency: Us 4 PA Name: R Agency: C 7 fE

NYC-WTC 000122156

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NYC-WTC_000122156Source: NYC Law Department, mirrored locally

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