Asbestos Disposal Form for 156 Chambers Street, 2002

NYC 9/11 Public Portal Document

WTC Visual Survey Form

Residential J Commercia Name of B Block: Lot: Mix Use ❑ Other ❑ # of Stories: Building Ow FAX: Name:

On Site contact: one Number: Name: 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: of All Reports and Data Yes

Visual Inspection tcesu.zs: Facade: Inspected Debris ❑ No Visible/Fine Layer to 1" ❑ '/2 ❑ > 1" North ❑ N/A ❑ Yes E] No []> 1" South ❑ N/A 0 Yes ❑ No ❑ No Visible/Fine Layer ❑'/2 to 1" ❑ No Visible/Fine Layer ❑ '/2 to 1" ❑ > 1" East ❑ N/A ❑ Yes ❑ No ❑ > 1" ❑ N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer ❑'h to 1" West Facade Description: k J+S I'LL' ~fi•'k- fit" i V L 9~ 1 c

Roof to 1" ❑ > 1" [] No Visible /Fine Layer ❑ '/2 Debris: Description: i ^ss -r I

Setbacks N/A d Debris: ❑ No Visible/Fine Layer ❑'/2 to 1" ❑ > 1" Floor: ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer ❑ '/2 to 1" Debris: ❑ No Visible/Fine Layer ❑'/2 to 1" ❑ > 1" Floor: ❑>1 Floor: Debris: ❑ No Visible/Fine Layer ❑'/2 to 1" 1/2 ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer El to 1"

Comments

Date: / /2002 Inspection Team: Name: Name: /it" f`' 1L r Agency: AYH~I NYC-WTC 000127044