WTC visual survey form, 42 Beaver St, Nov 2001

NYC 9/11 Public Portal Document

WTC Visual Survey Form Premise Address: ~- '4 Q jE r Block: Residential 0 Commercial Name of Building: Lot: Mix Use 0 Other # of Stories: AKA's: Building Owner/Management: Telephone Number: Name: i FAX: Address: On Site Contact: p Name: "`~--r C~-st~3 L elephone 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 I Yes

Visual Inspection Results: Facade: Inspected Debris North ❑ N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer ❑ Y2 to V ❑ > 1" South ❑ N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer ❑ % to 1" ❑ > 1" East ❑ N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer ❑ % to 1' ❑ > 1' West ❑ N/A ❑ Yes ❑ No ❑ No Visible/Fine Layer ❑% to 1" [3>10 s ( Facade Description:

Roof

Debris: ❑ No Visible /Fine 'Layer ❑ h to 1' L] > 1" Description:

Setbacks NIA ❑ Floor. Debris: ❑ No Visible/Fine Layer ❑ 3h to 1' [3 > 10 Floor: Debris: ❑ No Visible/Fine Layer 03410 1 ❑> V Floor: Debris: ❑ No Visible/Fine Layer ❑ 4 to 1' ❑ > 1' Floor: Debris: ❑ No Visible/Fine Layer ❑ % to 1' ❑ > 1' Floor. Debris: ❑ No Visible/Fine Layer 0341010 0> V Comments

Date: C1 /_x_/2002 Inspection Team: Name: C"~_.. Agency: Name: Agency: NTER

NYC-WTC 000118933