39 BEEKMAN STREET 168 WILLIAM STREET 1001284, 93/26

NYC 9/11 Public Portal Document

loot WTC Visual Survey Form Premise Address:

Block: Residential Commercial Name of Building: Lot: Mix Use Other Li # of Stories: AKA's: Building Owner/Management: Telephone Number: ( m Name: Mon Co9i. FAX: ( ) S6(0 .pcq- 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 [fifes

Visual Inspection Results: Facade: Inspected Debris North ❑ N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer ❑'h to 1" [2 >1" South ❑ N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer [2% to 1" ❑ > 1" East ❑ N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer ❑'/ to 1" [2 >1" West ❑ N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer ❑'/ to 1" [2 >1" Facade Description:

Roof

Debris: ❑ No Visible /Fine Layer ❑ % to 1" [2 >1" Description:

Setbacks N/A ❑ Floor: Debris: ❑ No Visible/Fine Layer Li 1/2 to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer ❑ 1/2 to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer ❑'/ to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer ❑'/s to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer Li 1/2 to 1" n> 1"

Comments ToU4&tA " e- LAt4E c'" Er.00fZ.

Date: 3 /~, 2Q02 Inspection by: Name: C. L Agency: Name: Agency:

NYC-WTC-000118755