DEP follow-up letter, 165 Chambers Street, Feb 2002

NYC 9/11 Public Portal Document 1 VW(o'OE I l q aao~~i WTC Visual Survey Form Premise Address: 3 03 Block: / Residential Commer i Name of Building: Lot• ©( Mix Use Other # of Stori s: AKA's: Telep one Number: ( ) Jc7-- Building Owner/Management: Name: ' cyi2 j 2-+~+ t.0 3 (-e-R P FAX: ( ) S S- 7 - 3 Z Address: R-~ t ff 1 1c)t>1 On Site Contact: Name: Telephone Number: ( ) Building Owner Management Activities Interior Survey Performed ❑ Yes 0 No Exterior Survey Performed ❑ Yes No General Clean Up J Yes ❑ No Locations: +t+S + + (r7 S + /)1:- ACM Clean Up El Yes © No Locations: Air Monitoring ❑ Yes El No Locations: Copies of All Reports and Data Requested Yes

Visual Inspection Kesuits: Facade: Inspected Debris ❑ Yes ❑ No ❑ No Visible/Fine Layer ❑Yzto1" 0>1" North ❑ N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer ❑%to1" 0>1" South ❑ N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer ❑'/to1" ❑>1" East ❑ N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer ❑%to 1" o>1" West ❑ N/A Facade Description:

Roof

Debris: j No Visible /Fine Layer ❑'/ to 1" ❑ > 1" Description: i ic 2 - -

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

Comments

Inspection Team: Name: /1 C Agency: Date: G' ( /x/2002 Name: J , i 6 rt i Agency:

NYC-WTC 000127005