DEP request letter, 400 Chambers Street, Feb 2002

NYC 9/11 Public Portal Document

WTC Visual Survey Form Premise Adores: Q V c

Block: Resident _Commercial Name of Building: Lot: Mix Use Ot r # ofStories: Lc AKA's: t Building Owner na ment: Telephone Number: (?ii. ) i G Name: r^ A M' FAX: Address: On Site Contact: f Name: ' ("^" / Telephone Number: Building Owner Management Activities Interior Survey Performed 0'es ❑ No Exterior Survey Performed Eyes ❑ No General Clean Up es ❑ No Locations: ACM Clean Up Ves ❑ No Locations: Air Monitoring EYes ❑ No Locations: Copies of All Reports and Data Requested Yes

Visual Inspection Results: Facade: Inspected Debris North ❑ N/A es ❑ No to

Visible/Fine Layer ❑Yzto1" 0>1" South ❑ N/A YesDNo o Visible/Fine Layer ❑Y:to 1" 0>1' East ❑ N/A Yes ❑ No Q14o Visible/Fine Layer ❑Y2to1" 0>1" West ❑ N/A Yes ❑ No -- o Visible/Fine Layer ❑ % to 1" 0>1" Facade Description:

Roof

Debris: do Visible /Fine Layer ❑ % to 1" ❑ > 1"

Setbacks N/A ❑ Floor: Debris: ❑ No Visible/Fine Layer ❑ % to 1" 0>1' Floor: Debris: 0 No Visible/Fine Layer ❑ % to 1" 0>1" Floor: Debris: ❑ No Visible/Fine Layer 0 to 1" 0>1" Floor: Debris: ❑ No Visible/Fine Layer ❑ Yz to 1" 0>1" Floor: Debris: ❑ No Visible/Fine Layer ❑ % to 1" 0>1" Comments y s - // 1 P

Date: / 7/2002 Inspection Team: Name: C Agency: Name: Agency:

NYC-WTC 000126974