WTC debris inspection form, 80 Beekman Street, Feb 2002

NYC 9/11 Public Portal Document WTC Visual Survey Form i r7Q -~? U —T FE.'ti r;Address: , - o ek,n &g E' /3l 3 Block: qt4 Residential Commercial j J Name of Building: Lot: Mix Use 0 Other # of Stories: AKA's: Building Owner/Management: Sc tt Telephone Number: (2i 2.) zb-r - 61go Name: ¶ a ,Lo. FAX: Address: On Site Contact: Name: 'e c Kk . Sa Telephone Number: Building Owner Management Activities Interior Survey Performed ❑ Yes ❑ No Exterior Survey Performed ❑ Yes ❑ No General Clean Up ( Yes ❑ No Locations: vow,b%A ACM Clean Up ❑ Yes ❑ No Locations: Air Monitoring EYes ❑ No Locations: vawt' s Copies of All Reports and Data Reguested Yes

Visual Inspection Results: Facade: Inspected Debris North ❑ N/A 'Yes ❑ No No Visible/Fine Layer ❑%tol" 0>1" South ❑ N/A CRYes ❑ No No Visible/Fine-may&r ❑'%to l" 0>1" East ❑ N/A 0 Yes ❑ No ® No VisibleEFirtlstayer ❑%to1' 0>1" West ❑ N/A 'Yes ❑ No j No Visible/Fine-Layer ❑ % to l" 0>1" Facade Description:

Roof

Debris: 2 No Visible /Fine-I eyes ❑'/ to 1" ❑ > 1" Description:

Setbacks N/A Floor. Debris: ❑ No Visible/Fine Layer ❑ va to 1" ❑ > 1" Floor. Debris: ❑ No Visible/Fine Layer ❑'%a to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer ❑'% to V ❑ > 1" Floor. Debris: ❑ No Visible/Fine Layer ❑'h to V ❑ > 1" Floor: Debris: 0 No Visible/Fine Layer ❑% to 1" ❑ > 1"

Comments

Date: / 14 12002 Inspection Team: Name: Rsvr rr,,oh Agency: M1e .DEP. Name: Agency:

A NYC-WTC-000118883