WTC visual survey form, 42 Beaver St, Nov 2001

NYC 9/11 Public Portal Document

WTC Visual Survey Form Premise Address• C Block: Residential Commer ' T NaNar&f Buildi Lot: Mix Use 0 Other # of Stories: AKA's: Building Owner/Management: Telephone Number: ( ) Name: FAX: Address: On Site Contac Q. tM Name: Telephone Number: Building Owner Management c vities 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 0/to1" 0>1" South ❑ N/A ❑Yes❑No ❑ No Visible/Fine Layer ❑%to 1" 0>1" East ❑ N/A ❑Yes❑No ❑ No Visible/Fine Layer ❑Ma to 1" 0>1" West ❑ N/A Facade Description: es ❑ No -5 No Visible/Fine Layer ❑'h to 1" 0>1"

Roof

Debris: ❑ No Visible /Fine Layer ❑ % to 1" ❑ > 1" Description:

Setbacks N/A ❑ Floor: Debris: ❑ No Visible/Fine Layer ❑'!a to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer ❑ Va to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer ❑ Va to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer ❑ % to 1" ❑ > 1" Floor: Debris: ❑ No Visible/Fine Layer ❑ % to 1" ❑ > 1"

Comments

Date: U // " /2002 Inspection Team: Name: Agency: 8 31 N3 Name: Agency: i

NYC-WTC-000118934