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Asbestos bulk sampling chain of custody for 95 Chambers Street,

Machine-extracted title · confidence 96%

Chain of custody form for asbestos samples collected from the roof and gutters of 95 Chambers Street on February 23, 2002.

NYC-WTC_000122166–000122168

Folder label: “95 CHAMBERS STREET BIN: 1001629

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Scanned page image, NYC-WTC_000122167
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NYC 9/11 Public Portal Document

WTC Visual Survey Form Premise Address: G i ,~ ( iii htS Block: Residential 0 Commercial Na a of Building Lot: Mix UseD Other ,1 1 / e .' S f # of Stories: AKA's: Building Ow{ier/Management: Telephone Number, (d ~) ~~ _ cc Name: ' E ' i -!+ FAX: Address: On Site Contacts ~f Name: ar~r c 1riC s Telephone Number (lit) ? cs 7 Building Owner Management Activities Interior Survey Performed ❑ Yes No Exterior Survey Performed Yes ( No General Clean Up Yes 0 No Locations: /I I I f / . s w~'Tr ~' /,1/, *~~^_¢ i ACM Clean Up 0 Yes No Locations: r t ot. # . .,w. L. rs.4 Air Monitoring ❑ Yes No Locations: Copies of All Reports and Data Requested fl Yes

Inspected Debris North NIA Yes 0 No D No Visible/Fine Layer 0'%S to 1" 0>1" South ❑ NIA HYesoNo R No Visible/Fine Layer ©% to 1" ❑ > 1" East Q N/A Q Yes 0 No Q No Visible/Fine Layer 0% to 1" 0>1" West ©N/A O Yes D No _] No Visible/Fine Layer 0 % to 1" 0>1" Facade Description: 'tr• tee. 1" s—..

Roof

Debris: ❑ No Visible /Fine yer jZ to 1" •1 ="i '"'4 0> 1" 1 Description: r t< l - :.(-.., ; a .,,.. y4 e . . .,- .. . (u-'.

Setbacks NIA D' Floor. Debris: 0 No Visible/Fine Layer Q % to 1" 0>1" Floor: Debris: ['j No Visible/Fine Layer 0 4 to 1" 0> 1" Floor: Debris: 0 No Visible/Fine Layer ❑ % to 1" 0> 1" Debris: © No Visible/Fine Layer 0% to 1" Floor: Floor: Debris: 0 No Visible/Fine Layer to 1"0% 0> 1" > 1"

Comments

Name: /c ,' r,.¶,.. Agency: /.• -*( ') wF 1. ` FIB-' Y' ^ r^•t S +~,c r +•'~.v y J 1

NYC-WTC 000122167

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NYC-WTC_000122167Source: NYC Law Department, mirrored locally

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