Cover sheet for 153 Chambers Street WTC records, Feb 2002

NYC 9/11 Public Portal Document

WTC Visual Survav Form Premise Address: /

Block: Residential D Commercial I Name of Building: Lot: Mix Use Other #of Stories: ', AKA's: Building Owner/Management: Telephone Number: ( ) Name: FAX: ( ) Address: On Site Contact: Name: " * Telephone Number: ( ) 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: Copies of All Reports and Data Requested D Yes

Visual Inspection Kesuim: Inspected Debris North ❑ N/A ['Yes ❑ No ❑ No Visible/Fine Layer MN2 to 1" ❑ > 1" South ❑ N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer ❑ % to 1" ❑ > 1" East ❑ N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer ❑ % to 1" ❑ > 1" West ❑ N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer ❑ % to 1" ❑ > 1" Facade Description: \\ U1 1i

Roof

Debris: NI No Visible /Fine Layer ❑ % to 1" > 1" i Description: (mr r 1~1, t'--'t i lr 7 C .,

Setbacks N/A1 Floor: Debris: ❑ No VSible/Fine Layer ½ to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer 0½ to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer ❑'/2 to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer 0½ to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer 0 '/2 to I" ❑ > 1"

Comments

Inspection Team: Name: 1L Agency: Date: Cl /x_/2002 Agency: Name: / ,u i( r< A rl NYC-WTC 000127121