WTC debris inspection form for building at 96 Chambers Street

NYC 9/11 Public Portal Document Sy l cx,' _..~

35 WTC Visual Survey Form

hJ Residential Commercia ame of Building: lock: Lot: _1 Mix Use 1 Other # of Stories: , - AKA's: Telephone Number;_._._._._._._._._._._._PII Building Owni (Management: FAX:( ) Name: f Mt.skulc"t ' Address: PII Telephone Number: ( ) Name: Building Owner Management Activities Interior Survey Performed ❑ Yes ❑ No Exterior Survey Performed ❑ Yes ❑ No General Clean Up ❑ Yes ❑ No Locations:___ ACM Clean Up ❑ Yes ❑ No Locations_ Air Monitoring ❑ Yes ❑ No Locations:_ Co of All Reports and Data Requested ❑ Yes

Visual Inspection KesuiLs: Facade: Inspected Debris No Visible/Fine Layer ❑ '/2 to 1" ❑ > 1" North ❑ N/A ® Yes ❑ No ,14t0 1" O>1" South N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer 0 to 1" O>1" N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer ❑'/2 East 1x 1A to 1" O>1" West ❑ N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer O

Facade Description: ct , l

Roof st. u. ❑ No Visible /Fine aver Q '/2 to 1" Debris: c r trJ Description: ;1,r rte.

Setbacks N/A ❑ Debris: ❑ No Visible/Fine Layer ❑ '/2 to 1" ❑ > 1" Floor: ❑ > 1" ' /2 to 1" Floor: Debris: ❑ No Visible/Fine Layer ❑ Debris: ❑ No Visible/Fine Layer ❑ '/2 to 1" ❑ > 1" Floor: ❑ > 1" '/2 to 1" Floor: Debris: ❑ No Visible/Fine Layer ❑ Debris: ❑ No Visible/Fine Layer ❑ '/2 to 1" ❑ >1 Floor:

Comments / 11 /1 ','f< e l { c i v /Ntif (L'✓ ,l T u vY/ i"~ , 1N L r lJ

— w ----... l ) - !' !' Inspection Team: Name: Ni Ut I Date: I l '1 /2002 ' M ~',~+ - Agency: ti 1.' &: ' Name: I= r

NYC-WTC 000122207