WTC debris inspection form for building at 96 Chambers Street

NYC 9/11 Public Portal Document

3S WTC Visual Survey Form Preinieddpe.css: ,1 L%.3 t`1^1411)Y~S ' Residential 0 Commercial Name of Building: Block: Lot: j Mix Use l Other AKA's: ~ --------------------P.-.-.-.-.-.-.-.-.-.-.--...~ # of Stories: -.-.-.-.-.-.-.-.-.-.-.-.PII _ __ Building Owner/Management: Telephone Number Name: Address: P11 On Site Con ti.-. ---------------------- --------------------------------------------- ----------------------------------- -------------------------? Telephone Number: ( ) Name: Building Owner Management Activities 5. r~ / r, llrn~.r,1 /, Interior Survey Performed ❑ Yes ❑ No Exterior Survey Performed ❑ Yes ❑ No General Clean Up ❑ Yes ❑ No Locations: ACM Clean Up ❑ Yes ❑ No Locations: ❑ Yes ❑ No Locations: Air Monitoring Copies of All Reports and Data Requested ❑Yes

Visual Inspection Kesuits; Facade: Inspected Debris g No Visible/Fine Layer ❑'h to 1" ❑ > 1" North ❑ N/A ®Yes ❑ No ❑ No Visible/Fine Layer ❑ '/2 to 1" ❑ > 1" South N/A ❑ Yes ❑ No ❑ > 1" ❑ Yes ❑ No ❑ No Visible/Fine Layer ❑'/2 to 1" East xI N/A ❑ No Visible/Fine Layer ❑ '/2 to 1" ❑ > 1" West ❑ N/A ❑ Yes ❑ No Facade pescnption• 'tw. ct

Roof t Lt. " "

Debris: ❑ No Visible /Fine ayer ❑'/2 to 1 1 ❑>1 / Description: il.-r rte. /4 4- A' Q rtt, . ( - i j/ ii

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

Comments ; /t "^ ~~i~t/ plc ;e l {cS r v (c ,, I ;i f r r+ . ' A✓+L-r

,~ , r,~e ~c~ tr' ~~ Agency: _._ 2 '1 /2002 Inspection Team: Name: r , re Date: ~/ Name: 1- , r .~ M ~1-%14 ,~ Agency: `' ti

NYC-WTC-000122207