WTC visual survey form, 100 Beekman St, 2001

NYC 9/11 Public Portal Document WTC Visual Survey Form t v 6 33q 4 Premi" Address: `lvio 6t EF tc/~'J,R~/ Mb S?REE-r Block: q q Residential Commercial J J Name of Building: Lot: Mix Use j Other # of Stories: AKA's: Building Owner/Management: St fZ m Telephone Number: (Zt z) z6-1 - 6tgo Name: 1 pr to. FAX: Address: On Site. Contact: Name: / 'e Ser JIC/ta.4., 1 A-n. s,, Telephone Number: Building Owner Management Activities Interior Survey Performed ❑ Yes ❑ No Exterior Survey Performed ❑ Yes ❑ No General Clean Up EYes ❑ No Locations: Vow'tnx ACM Clean Up ❑ Yes ❑ No Locations: Air Monitoring QYes ❑ No Locations: you -r -'s Copies of All Reports and Data Re uested Yes

Visual Inspection Results: Facade: Inspected Debris North South East ❑ N/A ❑ N/A ❑ N/A OYes ❑ No O Yes ❑ No 0 Yes ❑ No ~ No Visible/Fine-Layer ❑'%tol" No Visible/Fine-Eay&r ❑%tol" ® No Visiblel irr t€yer ❑ V to 1- 0>1" 0>1" 0>1" West ❑ N/A E'Yes ❑ No ® No Visible/F+ne-Layer ❑vato 1" 0>1" Facade Description:

Roof

Debris: No Visible /Fine-layer ❑'/to1" ❑>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 03410 1" 0 > 1" Floor. Debris: ❑ No Visible/Fine Layer ❑'/a to 1" ❑ > 1" Floor. Debris: ❑ No Visible/Fine Layer ❑ 3 to 1" ❑ > 1"

Comments

Date: 2 /x/2002 Inspection Team: Name: RA ___________________Agency: C MEP Name: Agency:

NYC-WTC 000118886