WTC building inspection form, 199 Chambers Street

NYC 9/11 Public Portal Document

Premise Address: ~L ,

Block: Resi ential Commercial j J Name o Building: Lot: Mix Use J Other # of Stories: AKA's: Building Ow er/Mana a ent: Telephone Number: ( ) Name: FAX: ( ) — rl Address: On Site C n ct: Name: ,O `. Telephone Number.; P11 Building Owner Management Activities Interior Survey Performed ❑ Yes ❑ No Exterior Survey Performed ❑ Yes ❑ No General Clean Up ❑ Yes ❑ No Locations: ACM Clean Up ❑ Yes ❑ No Locations: Air Monitoring ❑ Yes ❑ No Locations: Copies of All Reports and Data Requested J Yes

Visual Inspection Results: Facade: Inspected Debris North ❑ N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer ❑'/2 to 1" O>1" South ❑ N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer ❑% to 1" O>1" East ❑ N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer ❑ % to 1" O>1" West ❑ N/A ❑ Yes ❑ No ❑ No Vsible/Fine Layer E]'% to 1" O>1" Facade Description: L jab FaCA C

Roof

Debris: ❑ No Visible /Fine Layer ❑'/ to 1" ❑ > 1" Description:

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

Comments _p lz ' _e ,, l e-p c,p rC , c-o

/2002 Inspection Team: Name: fW- gency: t Lic-DET Name: Agency: c,

NYC-WTC 000126993