WTC facade inspection form, 26 Beaver Street, Nov 2001

NYC 9/11 Public Portal Document

ti WTC Visual Survey Form Premise Address: --~'

Block: Residential D Commercial Name of Building: Lot: Mix Use 0 Other # of Stories: 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 Yes

Visual Inspection Results: Facade: Inspected Debris North ❑ N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer ❑ Va to 1" ❑ > 1" South ❑ N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer ❑ % to 1" ❑ > 1" East ❑ N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer ❑ Va to 1" ❑ > 1" West ❑ N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer ❑ V to 1" ❑ > 1" Facade Description: GL~ a 1

Roof

Debris: No Visible /Fine Layer ❑ V2 to 1" 0>? Description:

Setbacks N/A Floor. Debris: ❑ No Visible/Fine Layer 0 V to 1" ❑ > 1" Floor. Debris: ❑ No Visible/Fine Layer ❑ Va to 1" ❑ > 1" Floor: Debris: 0 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 1" ❑ > 1"

Comments

Date: / / 2-/2002 Inspection Team: Name: Agency: Name: Agency:

E.W1ER NYC-WTC 000118915