WTC debris inspection form for building at 97 Chambers Street

NYC 9/11 Public Portal Document

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WTC Visual Survey Form Premise Address: f ~ .l G C l~•~M 11-:' s(i

Block: Residential D Commercial jJ Name of Building: Lot: Mix Use I Other 1 cC ~c E # of Stories: S AKA's: Building OwnerlMan Bement: Telephone Number: (2, z ) a'r 3 -S) Name: t j DDE F FAX: ) Address: w / -' S1 On Site Contact: Name: G/-e4.'-, c n - /c~+ Telephone Number: (2i L 3y;. Building Owner'Management Activities Interior Survey Performed ❑Yes © No Exterior Survey Performed ❑ Yes N1No General Clean Up Yes ❑ No Locations: . - ACM Clean Up ❑ Yes Q No Locations: Air Monitoring [j Yes [] No Locations: Copies of All Reports and Data Requested Yes

Visual Inspection Results: Facade: Inspected Debris North I N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer ❑ % to l" ❑ > 1" South ❑ N/A Q Yes ❑ No Q No Visible/Fine Layer ❑ % to 1" O>1" East ( N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer ❑'/ to 1" ❑ > 1" West Q N/A Q Yes ❑ No ❑ No Visible/Fine Layer Q'/ to l" O>1" Facade Description: L,.-Liv ch

Roof u .t . Debris: ❑ No Visible /Fine Layer Description: c; ^h '. 1 r l),. ~ I~ ICY .~ '/Z to 1" 9 '~"~ r+ll l~r tt r' o> 1" 1 , t. . ~ ,t •1-i.aS!~1 ~'

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" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer ❑ Va to 1' ❑ > 1" Floor. Debris: ❑ No Visible/Fine Layer ❑ Va to 1" ❑ > 1"

Comments /

Date: 1 U /2002 Inspection Team: Name: IC ! 'Z r', r -, . Agency: L - % Name: /:, 1,~,.,' , Agency: '- -a- ycr'

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NYC-WTC 000122258