WTC environmental inspection form, 45 Beekman Street

NYC 9/11 Public Portal Document

WTC Visual Survey Form a~ PremisA Address:

Block: 4 Residenti KtvML Commercial Name of Building: Lot Mix Use Other - -. #o ries: AKA's: Building Owner/Mans men Telephone Number. ( ) Name: • 0~ e - FAX:( ) Address: On Site Contact: Name: Telephone Number. ( Building Owner Management Activities Interior Survey Performed 2Yes ❑ No Exterior Survey Performed'--Yes ❑ No General Clean Up aes ❑ No Locations: ACM Clean Up ❑ Yes No Locations: Air Monitoring ❑ Yes.. No Locations: Copies of All Reports and Data Requested ❑ Yes

Visual Inspection Results: Facade: Inspected De is North ❑ N/A es El No Io Visible/Fine Layer ❑ Y2 to 1" ❑ > 1" South ❑ N/A s ❑-No 44o Visible/Fine Layer ❑ Y2 to 1" ❑ > 1" East ❑ N/A ❑ Yes ❑ No No Visible/Fine Layer ❑ Y2 to 1" ❑ > 1" West ❑ N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer ❑ Y2 to 1" D>1' Facade Description:

Roof

Debris: .. Visible /Fine Layer [J Y to 1" ❑ > 1" Description:

Setbacks N/A ❑ Floor: Debris: ❑ No Visible/Fine Layer ❑'/ to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer ❑ 4 to 1" [1> 1" Floor: Debris: ❑ No Visible/Fine Layer ❑ Y to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer ❑ Y2 to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer ❑ Y to 1" ❑ > 1" Comments

Date: _1 ri Inspection by: Name: 3 Agency: Name: Agency:

NYC-WTC 000118772