WTC debris inspection form, 52 Beekman Street, Oct 2002

NYC 9/11 Public Portal Document

WTC Visual Survey Form

Premise Address: a t' c1<M(4 Z Block: Residential 0 CommercialD Name of Building: Lot: Mix Use J Other0 # of Stories: AKA's: 7 0 J . L t_ i k. 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 J 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 '/to1" 0>1" East ❑ N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer '/to1" 0>1" West ❑ N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer %to1" ❑>1" Facade Description:

Roof

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

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

Comments

Date: I t 5 /2002 Inspection by: Name: (, . Agency: N C O Name: Agency:

NYC-WTC-000118845