Cover sheet for 153 Chambers Street WTC records, Feb 2002

NYC 9/11 Public Portal Document

WTC Visual Survey Form ) 1' Premise Address: 15 3 OEM 6 Block: Residential Commercial Name of Building: Lot: Mix Use fl Other # of Stories: j. AKA's: Building Owner/Management ~(0 n -e. Telephone Number: ( ) Name: FAX: Address: On Site Contact: wZ 3 Name: ' u' Tell hone Number: Building Owner Management Activities Interior Survey Performed ❑ Yes ❑ No Exterior Survey Performed ❑ Yes No General Clean Up Yes No Locations: ACM Clean Up g Yes No Locations: Air Monitoring []Yes ❑ No Locations: Copies of All Reports and Data Requested Yes

Visual Inspection Results: Facade: Inspected Debris North /A Yes ❑ No No Visible/Fine Layer r4 to 1" 0>1" South RN/A [] Yes ❑ No o Visible/Fine Layer ❑%to1' 0>1" 0 Yes ❑ No q East ❑ N/A O No Visible/Fine Layer /:to1" ❑ >1" West ❑N/A ❑Yes❑No ❑ No Visible/Fine Layer ❑Yato1" 0>1" Facade Description:

Roof _

Debris: No Visible /Fine Layer .❑ i4 to 1" ❑ > 1" Description:

Setbacks N/A ❑ Floor. _„__ Debris: ❑ No Visible/Fine Layer 934 to 1" 0>1" Floor. Debris: 0 No Visible/Fine Layer 0h to 1" ❑ > 1" Floor: __ Debris: 0 No Visible/Fine Layer 0 % to 1" ❑ > 1" Floor. Debris: ❑ No Visible/Fine Layer y4 to 1" ❑ > 1" Floor____ Debris: ❑ No Visible/Fine Layer g '4 to 1" ❑ > 1"

Comments /A' -

Date: Inspection Team: Name: Agency: Name: Agency: EkT E

NYC-WTC 000127117