WTC building inspection form, 65 Beaver Street, Oct 2001

NYC 9/11 Public Portal Document ~_. ~_ ~.~-..._•.. r_ :.....r «- -r .. .ter . ..... L ~L `I._ - _y~~_ i - ~.~•._. ~_~ - - .1 ~•~

WTC Visual Survey Form Premise Address: p 1 (~ ' X Block: Residential 0 tM Corinercial p I Name of•BuUdintw Lot Mix Use 0 Other - ;tte of Stories: - AKA's: twv Building Owner/Management Telephone Number ( ) Name: FAX: Address: On Site Contac Name: ' ~- • Telephone Number Building Owner Management Acthrlties Interior Survey Performed 0 Yes 0 No Exterior Survey Performed 0 Yes 0 No General Clean Up 0 Yes 0 No .Locations: ACM Clean Up ❑ Yes 0 No Locations: Air Monitoring 0 Yes 0 No Locations: Copies of All Reports and Data Requested Yes

Visual Inspection Results: Facade: Inspected Debris North 0 N/A ❑ Yes 0 No ❑ No Visible/Fine Layer ❑ 34 to 1' ❑ > 1' South N/A 0 Yes 0 No 0 No Visible/Fine Layer % to 1' 0>1' East ENIA 0 Yes 0 No ❑ No Visible/Fine Layer 034t01' 0>1' West 0 N/A O Yes 0 No 0 No Visible/Fine Layer 934t01' 9>1' Facade Description:

Roof Debris: 0 No Visible !Fine Layer 034t01' 0>1' Description: -

Setbacks WA 9 Floor. 4 Debris: Visible/Fine Layer 0 % to 1' 9>1' Floor II Debris: Visible/Fine Layer ❑ 34 to 1' ❑ > 1' Floor Debris: o Visible/Fine Layer % to 1' 0>1' Floor Debris: 0 No Visible/Fine Layer H%tols 0>1' Floor Debris: [] No Visible/Fine Layer ❑ 34 to 1' 0>1'

Comments ,

Date: } I 13 !2002"' Inspection Team: Name: Agency: Name: Agency:

NYC-WTC 000118968