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← Document results/DEP Box 49/95 CHAMBERS STREET BIN: 1001629
Document / 2 pages

Asbestos inspection form for 95 Chambers Street, DEP Box 49

Machine-extracted title · confidence 92%

Form documenting facade and interior asbestos inspections at 95 Chambers Street.

NYC-WTC_000122163–000122164

Folder label: “95 CHAMBERS STREET BIN: 1001629

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Scanned page image, NYC-WTC_000122163
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NYC 9/11 Public Portal Document ent ta WTC Visual Survey Form | Premise Address: . > fey ; gq iS thy pmbess St Block: IGG Residential [| © Commercial [¥4 Name of Building: . Lot: ,/ Mix Use[_] Other [7] An lpn's. fea! ‘ver, #ofStoriés: 5 | AKA's: Pack et Building Owner/Management: - z Telephone Number: (2 = ) 2.9 - sré? Name: AK (PEI Chmmrer St fern FAX) Address: On Site Contact: _ Name: dene /teles Telephone Number: (2/2.) Qo 27 Sie 7 Building Owner Management Activities interior Survey Performed [[] Yes [xj No Exterior Survey Performed [_] Yes [xX] No 4 ; F . General Clean Up x] Yes[_]No Locations:__/7 // floes wpite Manne, tallies, <nzere ACMCleanUp []Yes[x]No Locations: Als ¢ pact nee Ye el ret Air Monitoring []YesfxJNo — Locations: i ; _ Copies of All Reports and Data Requested [_] Yes Visual Inspection Results: Facade: inspected Debris North N/A [-] Yes [] No ([] No Visible/Fine Layer []%to1” []> 1°" South [N/A Yes []No No Visible/Fine Layer []%to1" [])> 1° East Pv] N/A [] Yes [[] No [-] No Visible/Fine Layer []%to1" ([]>1° West N/A [] Yes ]No [-] No Visible/Fine Layer []%to1” ([]> 1” Facade Description: Pree, termed ede Roof oust reas . Debris: [_] No Visible /Fine foyer BI %to1"7 alt Cl>1" 7 Host Description: of ¢7/* 2 § ts PR ae Span: fis ek ee ‘Cfmeten 3 i sye or ‘ Setbacks N/A[] Floor: Debris: [[] No Visible/Fine Layer [[]% to 1” []> 1” Floor: Debris: [_] No Visible/Fine Layer [_]% to 1” [j>1" Floor: Debris: [_] No Visible/Fine Layer [_]% to 1” []> 1” Floor: Debris: [_] No Visible/Fine Layer [_]% to 1” []> 1" Floor: Debris: [-] No Visible/Fine Layer [_]% to 1” []> 1° Comments a wtiegs t K, SON a ee —_— owner | Stem font west shew Canes et Kelby \ ee oe : coe ‘. Tip e406 wh bE Che Date: | / 2Y4 (2002 Inspection Team: Name: _“S_/,! 12 rfc k Agency: £ > &:2.- i ” NYC-WTC_000122163 Name: /C Amon ing & ee THoete % & fr fous ce Se oe Eh peepee bee OG Fi Agency: 2.4% C Ye £ Be

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NYC-WTC_000122163Source: NYC Law Department, mirrored locally

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