WTC facade inspection form, 150 Chambers St, Feb 2002

NYC 9/11 Public Portal Document

WTC Visual Survey Form Premise Address: try i O Block: Residential 0 Commercial U Name of Building: Lot: Mix Use ❑ Other ❑ # of Stories: ç AKA's: Building Owner anagement: 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 0 Yes ❑ No Locations: ACM Clean Up ❑ Yes 0 No Locations: Air Monitoring ❑ Yes 0 No Locations: Copies of All Reports and Data Requested J J Yes

Visual Inspection Results: Facade: Inspected Debris North ❑ N/A 0 Yes 0 No ❑ No Visible/Fine Layer ❑ % 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" 0>1" West ❑ N/A ❑Yes ❑ No ❑ No Visible/Fine Layer ❑ % to 1" 0>1" Facade Description:

Roof

Debris: [ ] No Visible /Fine Layet ❑ % o 1" ❑ > 1" Description: t C I-2-ct.vi 1 41 60; v41v, ~3 i f / i_1l,

Setbacks N/A Floor: Debris: ❑ No Visible/Fine Layer ❑ % to 1" ❑ > 1" Floor. Debris: 0 No Visible/Fine Layer ❑ Y2 to 1" ❑ >1 Floor: Debris: ❑ No Visible/Fine Layer [J ,14 to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer 034 to 1" ❑ > 1" Floor: Debris: 0 No Visible/Fine Layer ❑ 4 to 1" ❑ > 1" Comments

Date: e't / -)6 /2002 2 Inspection Team: Name: - Agency: Name: Agency: NYC-WTC 000127194