WTC building inspection form, 19 Beekman Street

NYC 9/11 Public Portal Document

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1NTC Visual Survev Form lool,P17 '~ Promise Address:

Block: Residential 0 Commercial Name of Building: Lot Mix UseD Other S of Stories: AKA's: Building ne a gZ7~n~j Telephone Number ( ) Name: / L4L. FAX: Address: On Site Contact: Name: ' ' Telephone Number. Building Owner Management Activities Interior Survey Performed J Yes Q No Exterior Survey Perfommned Yes [ No General Clean Up Yes 0 No Locations: ACM Clean Up 0 Yes ❑ No Locations: Air Monitoring Q Yes 0 No Locations: Copies of All Reports and Data Requested Yes

Visual inspection Results: Facade: Inspected Debris North N/A DYesDNo No Visible/Fine Layer i4 to 1' 0>1' South N/A DYesDNo No Visible/Fine Layer % to 1' 0>1' East N/A DYesDNo No Visible/Fine Layer i4 to 1' 9>1' West N/A DYes ONo No Visible/Fine Layer ❑1A to 1' D)1 . Facade Description: n { A

Roots Debris: loo Visible /Fine Layer .0 % to 1' 0>1' Description:

Setbacks N/A, ` Floor___ Debris:9 No Visible/Fine Layer ❑ s to 1 0>1' Floor:__ Debris: 0 No Visible/Fine Layer 0i4 to V >1' Floor____ Debris:JJ No Visible/Fine Layer % to V > 1' Floor_, Debris: No Visible/Fine Layer % to 1' > 1' Floor.____ Debris: No Visible/Fine Layer 014 to 1' > 1'

Comments

Date: / f2oo2 Inspection Team: Name: Agency: Name: Agency.

NYC-WTC 000118723