Building assessment form for 157 Chambers Street, 2002

NYC 9/11 Public Portal Document

WTC Visual Survey Form Premise Address:

Block: Residential Commercial Name of Building: Lot: Mix Use J Other # of Stories: AKA's: Building Owner/Management: Telephone Number; P11 Name: FAX: ( Address: On Site Contact: Name: I Telephone Number: ()1 ) 'j 3 L— O-).7 Building dwner Management Activities Interior Survey Performed []Yes ❑ No Exterior Survey Performed ❑ Yes ❑ No General Clean Up 'Yes ❑ No Locations: ACM Clean Up ❑ Yes~"Ao Locations: Air Monitoring ❑ YesPo Locations: Copies of All Reports and Data Requested El Yes

Visual Inspection Results: Facade: Inspected Debris North ❑ N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer ❑ % to 1" South ❑ N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer ❑ Y2 to 1" East ❑ N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer ❑ Y2 to 1" West ❑ N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer ❑ Y2 to 1" Facade Description: a ()

Roof

Debris: No Visible /Fine Layer ❑ Y2 to 1" ❑ > 1" Description:

Setbacks N/Ax Floor: Debris: ❑ No Visible/Fine Layer ❑ Y2 to 1" 0>1" Floor: Debris: ❑ No Visible/Fine Layer 0'/2 to 1" [2>1" Floor: Debris: ❑ No Visible/Fine Layer ❑ Y2 to 1" 0>1" Floor: Debris: ❑ No Visible/Fine Layer ❑ Y2 to 1" [2 >1" Floor: Debris: ❑ No Visible/Fine Layer ❑ Y2 to 1" 0>1"

Date: // 4/2002 Inspection Team: Name: Agency: Name: Agency:

NYC-WTC 000127052