Facade inspection form, 87 Chambers Street

NYC 9/11 Public Portal Document

WTC Visual Survey Form .Premrse Address: S' 7 Cr !► rt M r~ 5 -(. Block: Residential 0 Commercial J Name of Building: Lot: Mix Use I Other # of Stories: AKA's: Building Owner/Management: j-"' 113 iri ;>41y; Telephone Number: (l f L ) y 3 t ` 7 S-J Name: /,,,; f l M ter, cork.- X/ -,'-J L L '< Y FAX: ('2 , Z. ) 27',.. Address: Lf 3~ Lt,1. /&i..- z On Site Contact: Name: ' /"J /i fJ /7 c ~~ ma c: r c '- Telephone Number: _ PII ., Building Owner Management Activities Interior Survey Performed []Yes E ) No Exterior Survey Performed ❑ Yes (] No General Clean Up Yes ❑ No Locations: -, yS ACM Clean Up f] Yes 10 No Locations: Air Monitoring ❑ Yes , ] No Locations: Copies of All Reports and Data Requested D Yes

Visual Inspection Results: Facade: Inspected Debris North ❑x N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer ❑%to l" ❑> 1- South ❑ N/A Q Yes ❑ No ® No Visible/Fine Layer E]%Z to 1" 0>1" East ©N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer ❑'/to1" ❑>1" West ® N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer ❑ % to 1" 0>1" Facade Description: .e

Roof YY L~ Debris: Q~ No Visible /Fine yer Y. to 1"4 ~'~° ❑ > 1" 1 Description:

Setbacks N/A 4 Floor: Debris: ❑ No Visible/Fine Layer ❑ Y2 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 ❑ % to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer ❑ Y2 to 1" ❑ > 1"

Comments

Date: I / /2002 Inspection Team: Name: r, 1r Agency: s/,4 Name: ~ A, 1, ci m- Agency: /✓'rc _) ' I 31 NYC-WTC 000122319