WTC building inspection form, 25 Beekman Street

NYC 9/11 Public Portal Document

100l21 WTC Visual Survey Form Premise Address: Block: Z ResidentialU Commercial tk r 54reA- Name of Building: Lot: Mix UseD Other # of Stories: AKA's: Building OwpeManage ent Telephone Number: ( ) Name: ULI FAX:( Address; LI 't 1014 0 On Site Contact: 0 Name: Telephone Number: Building Owner Management Activities Interior Survey Performed ❑ Yes ❑ No Exterior Survey Performed ❑ Yes F] No (ltan r4 45V4op+4 t (0044 DN1 General Clean Up ❑ Yes ❑ No Loca tions: G Q T '7A+#4 04 ACM Clean Up ❑ Yes ❑ No Locations: Air Monitoring ❑ Yes ❑ No Locations: Copies of All Reports and Data Requested DYes

Visual Inspection Results: Facade: Inspected Debris North ❑ N/A ❑ Yes [] No ❑ No Visible/Fine Layer ❑Ytol" 0>1" South ❑ N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer ❑Ytol" 0>1" East ❑ N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer ❑%tol" 0>1" West ❑ N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer ❑ '/tot " 0>1" Facade Description:

Roof

Debris: ❑ No Visible /Fine

Setbacks N/A ❑ Floor. Debris: ❑ No Visible/Fine Layer ❑ V to 1" ❑ > 1" Floor. Debris: ❑ No Visible/Fine Layer ❑'/ to 1" ❑ > 1" Floor. Debris: ❑ No Visible/Fine Layer ❑ Y2 to 1" ❑ > 1" Floor. Debris: ❑ No Visible/Fine Layer ❑ Va to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer ❑ Va to 1" ❑ > 1"

Date: / /2x02 Inspection by: Name: Agency: Name: Agency:

NYC-WTC-000118750