Asbestos Disposal Form for 156 Chambers Street, 2002

NYC 9/11 Public Portal Document

WTC Visual Survey Form

h~,mrnnrni7l fl Name of Bu Lot: Mix Use ❑ Other # of S AKA's: Builds ng Owner/Management: FAX: Name

On Site Contact: Number: Name: Activities wilding Owner Management Interior Survey Performed ❑ Yes Exterior Survey Performed []Yes ❑No Clean Up ❑❑ Yes Locations: ❑ Yes ❑ No Locations: ACM Clean Up Locations: Air Monitoring ❑Yes ❑ No Yes Copies of All Reports and Data Requested []

Visual Ii Results: Facade: Debris Inspected ❑ No Visible/Fine Layer ❑ to 1" '/2 ❑ > 1" North ❑ N/A ❑ Yes ❑ No to 1" ❑ > 1" ❑ No Visible/Fine Layer 1/z 0 Yes ❑ No El South ❑ N/A ❑ '/2 to 1" ❑ > 1" ❑ N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer 0>1" East ❑'/2 to 1" ❑ N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer West Facade Description: / ^ V Ci <'1 c n r~ . < 1 . tiC-1~ .i~~

~.n r1 Ilvtt't't ~i --

Roof Layer to 1 >1 0 No Visible /Fine ❑ '/2 Debris: `. Description: i -

Setbacks N/A d ❑> 1" Floor: Debris: ❑ No Visible/Fine Layer ❑'/2 to 1" Debris: E ] No Visible/Fine Layer 0 1/2 to 1" ❑ > 1"„ Floor: ❑ >1 Floor: Debris: ❑ No Visible/Fine Layer 0 1/ 2 to 1" Debris: [] No Visible/Fine Layer ❑ '/2 to 1" ❑ > 1„ Floor: to ❑>1 Floor: Debris: ❑ No Visible/Fine Layer 0 1/ 2 1"

Comments

Anoncv• / /2002 Inspection i earn: Name. • Agency: Date: Name: NL—) k i Lt< ANN -"I NYC-WTC 000127047