WTC Facade Inspection Form, 154 Beekman Street

NYC 9/11 Public Portal Document

{ WTC Visual Survey Form Premise Address: ç i ResidentialD Commercial çcy

Block: Name of Building: Lot: Mix Use 0 Other # of Stories: AKA's: Buiidin,g Owner nag ment: Telephone Number. ( ) Name: tVVo--R— L AX: Address: On Site Contact Name: - - .. Telephone Number Building Owner Management Activities Interior Survey Performed ❑ Yes Q No Exterior Survey Performed [] Yes ❑ No General Clean Up ❑ Yes Q No Locations: ACM Clean Up ❑ Yes [] No Locations: Air Monitoring O Yes ❑ No Locations: Copies of All Reports and Data Requested Yes

Visual Inspection Results: Facade: Inspected Debris North N/A D Yes Q No 0 No Visible/Fine Layer %to 1' 9>1' ❑ YesD No 0>1' South East O N/A ❑ N/A ❑ Yes Q No R No Visible/Fine Layer No Visible/Fine Layer H % to 1' %to1' ❑>1' 0>1' West ❑ N/A Facade Description: FYes ❑ No 0 on ❑Alo Visible/Fine Layer 6to1'

Roof Debris: o Visible /Fine Layer 0 % to 1' 9>1' Description:

Setbacks NJ Floor Debris: 0 No Visible/Fine Layer ❑ % to 1" Floor Debris: 9 No Visible/Fine Layer ❑ % to 1' Floor. Debris: 0 No Visible/Fine Layer J% to 1' Floor Debris: ❑ No Visible/Fine Layer 0% to 1' Floor. Debris: ❑ No Visible/Fine Layer 936 to 1'

Comments

Date: /2002 Inspection Team: Name: Agency: Name: Agency:_______ - ENTE R

NYC-WTC 000118653