Cover sheet for 148 Chambers Street WTC records, Feb 2002

NYC 9/11 Public Portal Document

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WTC Visual Survey Form Premise Address: L t vl~~r Block: Residential Li Commercial Name of Building: Lot: Mix Use j Other IJ # of Stories: 7 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 0 Yes

Visual Inspection Results: Facade: Inspected Debris North ❑ N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer ❑ Yz to 1" 0>1" South ❑ N/A 0 Yes ❑ No ❑ No Visible/Fine Layer [D % to 1" ❑ > 1" East ❑ N/A 0 Yes ❑ No ❑ No Visible/Fine Layer 0½ to 1" ❑ > 1" West ❑ N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer ❑ % to 1" ❑ > 1" Facade Description: `.i •l 1 r\i ' C1 j') c t7 =rri \ H c,✓L

Roof

Debris: [ ] No Visible /Fine Layer D to1 ❑>1" Description: i rL S P1 c'c~C)

Setbacks N/A 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 Li ½ to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer 0½ to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer ❑ % to 1" ❑ > 1"

Comments

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Name: +t N - W Agency: AY.k15 NYC-WTC 000127158