WTC building inspection form, 79 Chambers Street

NYC 9/11 Public Portal Document

WTC Visual Survey Form Pr miss dress: (I, ± -,- S BI ck: Residential 0 Commercial Name of Building: Lot: Mix Use Other ❑ tit 7 ' ( c , ,, , # of Storie Buildin Own anagement) Telephone Number: (L, -- ) z; 3 - rt s s Name: TZ - 7 i,1, 7 FAX: ( ) Address: • i -• ri On Site Contact: Name: L,' A r hi zi /A - S '." - Telephone Number: (7 r t ) 23) - 5- rr b Building Owner Management Activities Interior Survey Performed ❑ Yes © No Exterior Survey Performed ❑ Yes ❑x No General Clean Up J Yes ❑ No Locations: ACM Clean Up DYes ❑ No Locations: Air Monitoring ❑ Yes © No Locations: Copies of All Reports and Data Requested Yes

visual inspection KesUtts: Facade: Inspected Debris North lE N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer [- ]Y to 1" 0>1" South N/A Q Yes ❑ No No Visible/Fine Layer ❑'/z to 1" ❑ > 1" East 0 N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer ❑ Y2 to 1" - E]>1" West [ N/A j] Yes ❑ No ❑ No Visible/Fine Layer ❑'/ to 1" ❑ > 1" Facade Description: L:r .L.v ah

Roof

Debris: ) No Visible /Fine oyer Description:

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

Comments

r,..4 . t , ) 1/ Mnnn L.~.,n..Finn Toam Mamo ~ - C 4, n_, J._ I e--- I / ; Name: +?.a w„, A Agency: AI -IC ,l E

NYC-WTC 000122299