Facade inspection form, 89 Chambers Street

NYC 9/11 Public Portal Document

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WTC Visual Survey Form Premise L Address:~ 1 C 11r~M&'s S4. Block: Residential 0 Commercial 0 Name of Building: Lot: Mix Use f J Other # of Stories: AKA's: Building Owner/Management: Telephone Number. (s, z ) y 3 / _ Name: L't L FAX: Address: - / ~. 3,. ,, z On Site Contact: Name: Telephone Number: ( ) Building Owner Management Activities Interior Survey Performed Yes No \ ~. Exterior Survey Performedd""®Yes No!' General Clean Up Q Yes ❑ No Locations: Sfhtrwplf, ACM Clean Up ❑ Yes 0 No Locations: Air Monitoring ❑ Yes ® No Locations: Copies of All Reports and Data Requested Yes

visual inspection rcesurts: Facade: Inspected Debris North 1] N/A ❑ Yes [] No ❑ No Visible/Fine Layer ❑ % to 1" 0>1" South ❑ N/A ['J Yes ❑ No ® No Visible/Fine Layer ❑ % to 1" ❑ > 1" East ®N/A •❑ Yes ❑ No ❑ No Visible/Fine Layer ❑ % to 1" 0>1" West ©N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer E]'/s to 1" 0>1" Facade Description:

Roof T Y&t Debris: ❑ No Visible /Fine yer ❑ 3 to 1" 4 ~'"''~ ❑ > 1" 1 ' Description:

Setbacks NIA M Floor. Debris: ❑ No Visible/Fine Layer ❑ % to 1" ❑ > 1" Floor. Debris: ❑ No Visible/Fine Layer ❑ % to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer ❑ 34 to 1" ❑ > 1" Floor. Debris: ❑ No Visible/Fine Layer ❑% to 1" ❑ > 1" Floor. Debris: ❑ No Visible/Fine Layer ❑% to 1" ❑ > 1"

Comments

Date: j_/ a f /2002 Inspection Team: Name: / fL pi tr' /c -Agency: OS Name: _ . Agency: NYc or-

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NYC-WTC 000122323