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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_000122165

Folder label: “95 CHAMBERS STREET BIN: 1001629

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Scanned page image, NYC-WTC_000122165
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NYC 9/11 Public Portal Document v e WTC Visual Survey Form Premise Address: C fi ; iS (iy Ambers St Block: Residential[ | © Commercial [y] Name of Building: Lot: Mix Use[_] Other [_] Anilpa's frac! dn, # of Stories: AKA's: " ; Building Owner/Management: ~ Telephone Number: (= =) 2.9 - soe? Name: KEM Chaser S14 fern FAX: ( ) Address: in On Site Contact: ; Name: ED cf /iel ey Telephone Number: (2/2.) 26 2- S\e7 | Building Owner Management Activities Interior Survey Performed [(] Yes [xi No Exterior Survey Performed [[] Yes [x] No General Clean Up x] Yes[_]No _Locations: (GAl floss wotire clomange, tall Rec Tee ACMCleanUp []Yes[x}No_ Locations:=_ plat past pees i ee eh eet Air Monitoring []Yesfy]No Locations: : ‘ Copies of All Reports and Data Requested |_| Yes Visual Inspection Results: Facade: inspected North DIN/A L1 Yes [[] No South [LIN/A Yes {]No East N/A (1 Yes ([] No West N/A [1 Yes []No Facade Description: ; Pon tenes Lows ede ae ene oe Debris [No Visible/Fine Layer []%to1”" []> 1” No Visible/Fine Layer []%to1" []>1° [| No Visible/Fine Layer []%to1" [)> 1’ LIJNo Visible/Fine Layer [)%to1” []>1° Roof ak p> WV ; Debris: LJNo Visible /Fine {over b1% to 1°47 au C)>1" 7 shel , Description: / fi? 2 ees best os dis theres! geet eS foe Se, Sma ee ee See ee 3 “spe te id Setbacks N/A[]: 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” Cj> 1" Floor: Debris: [_] No Visible/Fine Layer [_]% to 1” Ll> 1" Floor: Debris: ["] No Visibie/Fine Layer [(]% to 1” Ll>4 Comments, -_ wecees 2 LK, d CUR! fionAg Murteh. Lit- 26-5 €} OT tees ok og fOr =. Ae piney wetter al seiref j Story fut aves! She (poner ct Katybey\ me ois et lig -enes te be Chee 42 Date. | / 2¥ /2002 inspection Team: Name: _\_/.! 2 9 fre k Agency: ¢ > &/2.~ Name: _/<. Amn ing Agency: A.C )c4 Sno SE Fla ee 50 ch eres, NYC-WTC_000122165 *

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NYC-WTC_000122165Source: NYC Law Department, mirrored locally

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