WTC Premises Survey Form, 152 Beekman Street

NYC 9/11 Public Portal Document

Wr uai Survey Form premise Address: ~, 1s c ,nr~Gi.,.. &~~ Block: Residential j Commercial jJ Name of Building: Lot: MixUseD 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 0 Yes No Locations: ACM Clean Up ❑ Yes 0 No Locations: Air Monitoring [)Yes 0 No Locations: Copies of All Reports and Data Requested p Yes

Visual lnscection Results: Facade: Inspected DerIs North °e [YesDNo o Visibie/Fine Layer ❑34to1" 0>1" South 1/k 9`Yes ❑ No No Visible/Fine Layer 034t01' 0>1' East ❑N/A ❑Yes❑No No Visible/Fine Layer 34 to 1" 0>1' West ❑ N/A [} Yes 0 No No Visible/Fine Layer to 1" 0>1' Facade Description:

Roof

Debris: j No Visible !Fine Layer .0 % to 1" j] > 1" Description:

Setbacks N/A 0 Floor. Debris: 0 No Visible/Fine Layer ❑ 34 to 1" 0>1' Floor Floor. Floor Debris: 0 No Visible/Fine Layer D % to 1" Debris: 0 No Visible/Fine Layer D4 to 1" Debris: No Visible/Fine Layer 3% to 1" 0> > 1" 1" > 1" Floor.____ Debris: B No Visible/Fine Layer 34 to 1" > B 1" Comments

L.Date: -1 12002 Inspection Team: Name: Name: ___ _ rare W-dtt _. Agency: e ,,.y,., Agency: ENTERE

NYC-WTC 000118646