WTC visual survey form, 42 Beaver St, Nov 2001

NYC 9/11 Public Portal Document

WTC Visual Survey Form Premise Address:

Block: f..~ Residential 0 Commercial D Name of Building: Lot: ¢- Mix Use Other ►v`1C DOS "DOS. # of Stories: 12 AKA's: Building Owner/Management: D o S Telephone Number: (7 i,) 33 _ q 1 Q Name: rn, ~- c r~~ FAX:( Address: On Site Contact: t4y M`I7t Name: Lcs 4- Telephone Number: (212-) ' 37w Building Owner Management Activities Interior Survey Performed ❑ Yes 0 No Exterior Survey Performed ❑ Yes ❑ No General Clean Up Yes ❑ No Locations: r4 C r L. Lj. - sr is t .. _ c, 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 N le/Fine Layer n'/2 to 1" ❑ > 1" South ❑ N/A Yes ❑ No f J Ne-Vi3ibIe/Fine Layer ❑'/:to1" 0>1" East ❑ N/A DYes ❑ No ❑ No Visible/Fine Layer ❑'/2to1" ❑>1" West N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer ❑%to 1" D>1" Facade Description:

Roof

Debris: /Fine Layer ❑'/ to 1" ❑ > 1" Description: Ov- 1 vzcvt- des LoJ - t" z (e t< -v / - -<'f-. - zcrt cL,.c..,cL.

Setbacks N/A c 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 ❑'/2 to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer ❑ % to 1" ❑ > 1"

Comments

Date: 3 / 2_ /2002 Inspection Team: Name: ____ '✓ , Agency: /'-f C 96P Name: Agency:

NYC-WTC-000118928