Facade inspection form, 87 Chambers Street

NYC 9/11 Public Portal Document

WTC Visual Survey Form Premise Address: J S LI,.,M~r~~ 5{ Block: Residential 0 Commercial J Name of Building: Lot: Mix Use gj Other # of Stories: AKA's: Building Owner/Mana ement NpN /;/7 ii , ;z4-'y: Telephone Number. rr2 S 3 -

Name: /N, f / M rr, c,,— A/i 1-1.. 'Y FAX: ( i L 27.,.- sr : Address: k 'L / On Site Contact: Name: /"Jflr( 17c ss •'c rm -Si r ; Telephone Number: ; P11 Building Owner Management Activities Interior Survey Performed ❑ Yes © No Exterior Survey Performed ❑ Yes ® No General Clean Up ACM Clean Up Air Monitoring ❑ 9] Yes 0 No Locations: -'1-17' "h'—' A Lt S Yes ~]r No Locations: Yesg] No Locations: Copies of All Reports and Data Requested Yes

visua, inspection t esuiti3: Facade: Inspected Debris North Ox N/A ❑ Yes 0 No ❑ No Visible/Fine Layer ❑'/ to 1" ❑ > 1" South 0 N/A Q Yes 0 No ® No Visible/Fine Layer 0%s to 1" 0>1" East Ox N/A ❑ Yes 0 No ❑ No Visible/Fine Layer D Y to 1" 0>1" West ®N/A ❑ Yes 0 No 0 No Visible/Fine Layer 034 to 1" 0>1" Facade Description: FrrsL.:~ ww ctrws r4t -

Roof

Debris: QENo Visible /Fine yer 0'/: to 1"•i ~"'~ 0>1" 1 Description:

Setbacks N/A IXI Floor. Debris: 0 No Visible/Fine Layer ❑'h to 1" 0> 1" Floor. Debris: 0 No Visible/Fine Layer ❑ 34 to 1" ❑ > 1" Floor. Debris: 0 No Visible/Fine Layer 0'h to 1" D> 1" Floor. Debris: 0 No Visible/Fine Layer 0 % to 1" ❑> 1" Floor. Debris: 0 No Visible/Fine Layer [3'h to 1' 0>1" Comments

Date: L_I 12002 c Inspection Team: Name: ftC, F _Agency: Agency: yi q . Name: !.Am m a am-Agency: /✓Ye r>60

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NYC-WTC 000122312