WTC building inspection form, 65 Beaver Street, Oct 2001

NYC 9/11 Public Portal Document

1004,3 c~ WTC Visual Survey Form Premise Address: C P1ac~ Block: Resid ntial El Commercial I Name of Building: Lot: Mix Use ❑ Other ❑ 5 - C Z -t i ow SRS # of Stories: AKA's: Building Owner/Management: c~Y,a ' - n Telephone Number: (a 1 ) L4 2 Name: tn1 , o `? FAX: ( ) Address: ,\ OOP oft On Site Contact: - Name: ? Telephone Number: ( 1J ) a 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 ❑ %z to 1" ❑ > 1" South ❑ N/A [] Yes ❑ No ] No Visible/Fine Layer ❑'/ to 1" ❑ > 1" East ❑ N/A E] Yes ❑ No No Visible/Fine Layer ❑'h to 1" ❑ > 1" West ❑ N/A ® Yes ❑ No No Visible/Fine Layer ❑'/z to 1" [1> 1" Facade Description:

Roof

Debris: I& No Visible /Fine Layer ½ to 1" ❑ > 1" , Description: , ,c-,(, ,A (c. )a t ~:.P,. (A;, ,n f co C roml

tbacks N/A ❑ Floor T Debris: No Visible/Fine Layer El 1/2 to 1" ❑ > 1" Floor: Y sv.. DeIris No Visible/Fine Layer El 1z to 1" ❑ > 1" Floor iitJ No Visible/Fine Layer El 1/2 to 1" ❑>1 Floor. Debris: ❑ No Visible/Fine Layer '14t0 1" ❑ > 1" Floor I Q Debris: ❑ No Visible/Fine Layer ❑ /z to 1 ❑ >1 ' ~ Comynents Vli~ecwe's~.S'~6e come, c'l awe 51 a Ohr ow3er 5hnc~r-\ er root',rns-,eececk- L) \_s.L5

Date: / 1 12002 Inspection by: Name: ~~.tl~y~ h © lur SAgency: L E ?1 Name: Agency:

NYC-WTC-000118988