WTC building inspection form, 147 Chambers Street

NYC 9/11 Public Portal Document

WTC Visual Survey Form Premise Address:

Block: Residential 0 CommeriléFEl Name of Building: Lot: Mix Use Other # of Stories: AKA's: G% Building Owner/Management: Telephone Number (yr z-) 7-q S Name: r~~ tL FAX: ) Address: On Site Contact /- - 2 5477 Name: Telephone Number. Building Owner Management Activities Interior Survey Performed ® Yes ❑ No Exterior Survey Performed ❑ Yes [ J 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 Results: Facade: Inspected Debris North ❑ N/A © Yes ❑ No [~-No Visible/Fine Layer ❑%to 1" 0>1" South ❑ N/A ® Yes ❑ No Q No Visible/Fine Layer ❑Y2to1" 0>1" East ❑ N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer ❑%to1" 0>1" ❑ ❑ Yes ❑ No ❑ No Visible/Fine Layer ❑%:to 1" 0>1" West . N/A Facada Descnption•

I Roof Debris: ® No Visible /Fine Layer ❑%to 1" 0>1" Description:

Setbacks N/A ❑ Floor. t C Nm'-'i~-r Debris: ❑ No Visible/Fine Layer ❑'/z to 1" ❑ > 1" Floor. S„~, Debris: Q No Visible/Fine Layer ❑ % to 1" ❑ > 1" Floor. Debris: ❑ No Visible/Fine Layer ❑ % to 1" ❑ > 1" Floor Debris: ❑ No Visible/Fine Layer ❑ % to 1" ❑ > 1" Floor Debris: ❑ No Visible/Fine Layer ❑ % to 1" ❑ > 1"

Comments ` . en ' 6 W

Date: 8 / 1-- /2002 Inspection Team: Name: Agency: Name: H Q- t C r: Agency: h~u u NYC-WTC 000127222