Exterior cleaning agreement, 143 Chambers Street, May 2002

NYC 9/11 Public Portal Document

WTC Visual Survey Form Premise Address: t 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 Results: Facade: Inspected Debris North El N/A [] Yes ❑ No ❑ No Visible/Fine Layer El %zto1" ❑>1" South ❑ N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer ❑ % to l" ❑ > 1" East ❑ N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer ❑%to1" ❑>1" West ❑ N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer ❑ % to l" O>1" Facad Descnp ron

Roof

Debris: ❑ No Visible /Fine Layer Y2 to 1" > 1" Description: I i~~~ tCZ,:i FA' t )--1 r r;FCrfD& f l tr7 PP -vwf3

Setbacks N/A 0 Floor: Debris: ❑ No Visible/Fine Layer ❑ 1/ to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer ❑ % to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer ❑ Y to 1" ❑ > 1" Floor. Debris: ❑ No Visible/Fine Layer ❑ % to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer ❑ % to 1" ❑ > 1"

Comments A/c kC-C

Date: i / ')-L /2002 Inspection Team: Name: /1 £-'! Agency: Name: tY Agency:

,. A4!4 12 NYC-WTC 000127260