WTC facade inspection form, 150 Chambers St, Feb 2002

NYC 9/11 Public Portal Document

WTC Visual Survey Form 4. Promise Address: /S /SZ 4e.*- Sir 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 ❑ No Exterior Survey Performed ❑ Yes 0 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 DYes

visual inspection Resurts: Facade: Rte,' Inspected Debris North ❑ N/A QYes ❑ No 0 No Visible/Fine Layer 0% to 1" > 1" South ❑ N/A Yes ❑ No ❑ No Visible/Fine Layer % to? 0>1" East ❑ N/A ❑ Yes ❑ No [] No VSible/Fine Layer 9Ya to 1" 9> 1" West ❑ N/A 9 Yes ❑ No [] No Visible/Fine Layer 9 % to? 9>1" Facade Description: / .La ?e c2 .sue/ v- d2

Roof

Debris: L] No Visible /Fine Layer to 1" 9>1' Description: A C /Ji m 4- w~-r d24 c - d 90 UJW4re..c Of-.

Setbacks N/A [] Floor Debris: a No Visible/Fine Layer 0 h to? Floor Debris: a No Visible/Fine Layer 936 to 1" 0>1" Floor Debris: ❑ No Visible/Fine Layer ❑ 34 to 1" ❑>1" Floor Debris: ❑ No Visible/Fine Layer ❑'h to 1" Floor Debris: 0 No Visible/Fine Layer is % to 1"

Comments

Date: 2— 128 12002 Inspection Team: Name: f?G ~uQ 4e Agency: .2)6r/'. Name: Agency:

NYC-WTC 000127190