WTC environmental inspection form, 49 Beekman Street

NYC 9/11 Public Portal Document

WTC Visual Survey Form 10012.. $ Premise Addcess

Block: ' Residential 0 Commercial p Name of Building Lot: 3 Mix UseD Other D N~ # of tories: 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 Q Yes

Visual InsDectiion Results: Facade: Inspected Debris North ❑ N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer ❑%to l" 0>1" South ❑ NIA ❑ Yes ❑ No ❑ No Visible/Fine Layer ❑ ,4 to l" 0>1" East ❑ N/A ❑ Yes [] No EJ No Visible/Fine Layer ❑%ztol" 0>1" West ❑N/A ❑Yes❑No ❑ No Visible/Fine Layer ❑ to 1" 0>1" Facade Description:

Roof

Debris: ❑ No /Fine Layer ❑ Ya to 1" 0>1" Description:

Setbacks N/A ❑ Floor: Debris: ❑ No Visible/Fine Layer ❑ % to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer ❑ % 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 ❑ A to 1" ❑ > 1"

Comments W0R" YEu* 13oNt ' G4 CII"F4

Date: / 1S /2002 Inspection by: Name: G L. Agency: Name: Agency:

NYC-WTC-000118779