WTC building inspection form, 25 Beekman Street

NYC 9/11 Public Portal Document

10012iq WTC Visual Survey Form Premise Address: -

Block: Residential klr~ar~ Commercial Name of Building: Lot: Mix Use Other # of Stories: AKA's• Building Owjie Management • Telephone Number: ( ) Name: FAX:( Address: b &çd .et 1.oi4 0 soi 1 On Site Contact: I Name: Telephone Number: ) Building Owner Management Activities Y Interior Survey Performed [J Yes f ] No N ~n ` -O }O Do Exterior Survey Performed ❑ Yes ❑ No 45ir General Clean Up ❑ Yes ❑ No Locations: 6 O 40 A# 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 ❑N/A ❑Yes[]No ❑ No Visible/Fine Layer ❑%to 1" 0>1" South ❑ N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer 0'/to1" ❑>1" East ❑ N/A 0 Yes ❑ No [] No Visible/Fine Layer ❑%to1" 0>1" West ❑ N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer ❑ % to 1" 0>1" Facade Description:

Roof

Debris: ❑ No Visible /Fine

Setbacks N/A ❑ Floor: Debris: ❑ No Visible/Fine Layer ❑'/ to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer ❑'h to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer ❑'/2 to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer 0 1/ to 1" ❑ > 1" Floor. Debris: ❑ No Visible/Fine Layer 0'/2 to 1" ❑ > 1"

Date: / /2002 Inspection by: Name: Agency: cJ. Name: Agency:

NYC-WTC-000118746