Exterior cleaning agreement, 143 Chambers Street, May 2002

NYC 9/11 Public Portal Document

WTC Visual Survey Form Premise Address: C ~ Block: Residential 0 Commercial j J 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 ❑ 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 ❑ Yes

visual inspection Keswts: Facade: Inspected Debris North El N/A Q Yes ❑ No ❑ No Visible/Fine Layer E]%to1" 0>1" South ❑ N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer D'/2t01" 0>1" East ❑ N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer ❑Vto1" 0>1" West ❑ N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer ❑ % to 1" 0>1" acade Descnptron. ', -,

Roof

Debris: ❑ No Visible /Fine Layer % to 1" n > 1" Description: I t~~ t C _i~ t ~-1 i t; FW /1 L17 CM yi vw~

Setbacks N/A 0 Floor: Debris: ❑ No Visible/Fine Layer ❑'/ to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer ❑ V 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 0½ to 1" ❑ > 1"

Comments !

Date: i / )4- /2002 Inspection Team: Name: Cj £- ' Agency: Name: 41h.i iL K Agency:

M14 I2 NYC-WTC 000127260