WTC facade inspection form, 150 Chambers St, Feb 2002

NYC 9/11 Public Portal Document

WTC Visual Survey Form 4r Premise Address: /S !SZ e4 4€ S r "" Block: Residential 9 Commercial 9 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 Q No Exterior Survey Performed 0 Yes 0 No General Clean Up ❑ Yes Q No Locations: ACM Clean Up ❑ Yes Q No Locations: Air Monitoring Q Yes Q No Locations: Copies of All Reports and Data Requested Yes y>isuar ins Kesults: Facade: Rte✓ Inspected Debris North Q N/A Yes 0 No Q No Visible/Fine Layer L] % to 1" >1" South Q N/A ~' Yes 0 No 0 No Visible/Fine Layer 4 to? 0>? East Q N/A Q Yes Q No Q No Visible/Fine Layer 9 '/ to? 9'? West ❑ N/A [] Yes ❑ No Q No Visible/Fine Layer 934 to 1" 9>? Facade Description: /,vow •Lao c -Z ...4 Vr; ,

Roof

Debris: L] No Visible /Fine Layer ET% to 1' L] > 1' Description: A c~'7 m ~ da p, c — Qo cue

Setbacks N/A [] Floor: Q "g Debris: a No Visible/Fine Layer O % to 1' Floor: Debris: Q No Visible/Fine Layer 936 to 1" >\1" 0 Floor: Debris: Q No Visible/Fine Layer 036 to? 0>? Floor: Debris: Q No Visible/Fine Layer Q'h to V 9>? Floor Debris: 0 No Visible/Fine Layer 934 to V Comments

Date: 2— 12$ 12002 Inspection Team: Name: / 4e Agency: -D& Name: Agency:

NYC-WTC 000127190