WTC building inspection form, 25 Beekman Street

NYC 9/11 Public Portal Document

10012.7 WTC Visual Survey Form Premise Address: t QkmOrS. Block: Residential Commercial # Name of Building: Lot: 2 Mix Use Other # of St 'es: 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 J Yes Visual Inspection Results: Facade: Inspected Debris North ❑ NIA ❑ Yes ❑ No ❑ No Visible/Fine Layer ❑ % to 1" ❑ > 1" South ❑ N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer ❑ % to 1" 0>1' East ❑ N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer ❑ % to l" [3>1" West ❑ N/A ❑ ❑ NoYes

❑ No Visible/Fine Layer ❑ % to 1" [3>1" Facade Description:

Roof

Debris: ❑ No Visible /Fine Layer 0% to 1" ❑ > 1"

HO Setbacks N/A 0 Floor. Debris: ❑ No Visible/Fine Layer ❑% to? ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer ❑ % to 1" 0> 1" Floor. Debris: ❑ No Visible/Fine Layer ❑ % to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer ❑'/ to 1" ❑ > 1" Floor Debris: [0 No Visible/Fine Layer ❑'/ to 1" ❑ > 1"

Comments

Date: a/J /2002, Inspection by: Name: G.1.• Agency: _ ,.=P Name: Agency:

NYC-WTC-000118725